Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,786.30 / $20,892.96	Facility		$2,818.38	$4,786.30	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $5,011.87	Professional		$1,698.24	$2,238.72	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,995.26 / $2,290.87	Facility		$707.95	$1,995.26	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,019.95 / $5,754.40	Professional		$1,862.09	$3,019.95	$5,754.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,691.53 / $4,570.88	Facility		$1,778.28	$2,691.53	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,818.38 / $4,677.35	Professional		$1,778.28	$2,818.38	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $120.23	Professional		$32.36	$33.11	$120.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,630.78 / $3,890.45	Facility		$2,818.38	$3,630.78	$3,890.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,630.27	Facility		$2,570.40	$2,570.40	$2,630.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,073.80 / $5,495.41	Professional		$2,630.27	$4,073.80	$5,495.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,630.78 / $4,897.79	Professional		$2,630.27	$3,630.78	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,318.26 / $5,754.40	Facility		$707.95	$1,318.26	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,818.38 / $5,248.07	Professional		$1,905.46	$2,818.38	$5,248.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,089.30 / $3,467.37	Professional		$1,819.70	$2,089.30	$3,467.37