Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $6,025.60 / $20,892.96	Facility		$3,019.95	$6,025.60	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $6,309.57	Professional		$2,187.76	$2,884.03	$6,309.57
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 $2,398.83 / $3,981.07 / $7,413.10	Professional		$2,398.83	$3,981.07	$7,413.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,162.28 / $6,025.60	Facility		$2,238.72	$3,162.28	$6,025.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,630.78 / $6,025.60	Professional		$2,238.72	$3,630.78	$6,025.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $158.49	Professional		$32.36	$33.11	$158.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,786.30 / $5,128.61	Facility		$3,548.13	$4,786.30	$5,128.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,467.37	Facility		$3,388.44	$3,388.44	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $5,370.32 / $7,244.36	Professional		$3,467.37	$5,370.32	$7,244.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,786.30 / $6,456.54	Professional		$3,467.37	$4,786.30	$6,456.54
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 $2,511.89 / $3,715.35 / $6,760.83	Professional		$2,511.89	$3,715.35	$6,760.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,691.53 / $4,466.84	Professional		$2,344.23	$2,691.53	$4,466.84