Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $6,456.54 / $20,892.96	Facility		$3,162.28	$6,456.54	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,090.30 / $6,918.31	Professional		$2,290.87	$3,090.30	$6,918.31
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 $2,511.89 / $4,168.69 / $7,762.47	Professional		$2,511.89	$4,168.69	$7,762.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,630.78 / $6,309.57	Facility		$2,454.71	$3,630.78	$6,309.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,890.45 / $6,456.54	Professional		$2,454.71	$3,890.45	$6,456.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $4,897.79 / $5,370.32	Facility		$3,981.07	$4,897.79	$5,370.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,630.78	Facility		$3,548.13	$3,548.13	$3,630.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $5,623.41 / $7,585.78	Professional		$3,630.78	$5,623.41	$7,585.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,011.87 / $6,760.83	Professional		$3,548.13	$5,011.87	$6,760.83
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 $2,630.27 / $3,890.45 / $7,244.36	Professional		$2,630.27	$3,890.45	$7,244.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,818.38 / $4,677.35	Professional		$2,454.71	$2,818.38	$4,677.35