Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,370.32 / $20,892.96	Facility		$2,818.38	$5,370.32	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $5,495.41	Professional		$1,905.46	$2,454.71	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $2,290.87	Facility		$707.95	$758.58	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,467.37 / $6,456.54	Professional		$2,089.30	$3,467.37	$6,456.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,019.95 / $5,248.07	Facility		$1,995.26	$3,019.95	$5,248.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,235.94 / $5,370.32	Professional		$2,041.74	$3,235.94	$5,370.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $138.04	Professional		$32.36	$33.11	$138.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,168.69 / $4,466.84	Facility		$3,162.28	$4,168.69	$4,466.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,019.95	Facility		$2,951.21	$2,951.21	$3,019.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,677.35 / $6,309.57	Professional		$3,019.95	$4,677.35	$6,309.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,168.69 / $5,623.41	Professional		$3,019.95	$4,168.69	$5,623.41
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 $2,187.76 / $3,235.94 / $5,888.44	Professional		$2,187.76	$3,235.94	$5,888.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,398.83 / $3,981.07	Professional		$2,089.30	$2,398.83	$3,981.07