Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,495.41 / $20,892.96	Facility		$2,951.21	$5,495.41	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $6,025.60	Professional		$2,089.30	$2,754.23	$6,025.60
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 $2,290.87 / $3,801.89 / $7,079.46	Professional		$2,290.87	$3,801.89	$7,079.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,388.44 / $5,754.40	Facility		$2,187.76	$3,388.44	$5,754.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,548.13 / $5,888.44	Professional		$2,238.72	$3,548.13	$5,888.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $151.36	Professional		$32.36	$33.11	$151.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,466.84 / $4,897.79	Facility		$3,467.37	$4,466.84	$4,897.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,311.31	Facility		$3,235.94	$3,235.94	$3,311.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $5,128.61 / $7,079.46	Professional		$3,311.31	$5,128.61	$7,079.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,570.88 / $6,165.95	Professional		$3,311.31	$4,570.88	$6,165.95
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 $2,398.83 / $3,548.13 / $6,606.93	Professional		$2,398.83	$3,548.13	$6,606.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $4,265.80	Professional		$2,238.72	$2,630.27	$4,265.80