Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $20,892.96	Facility		$1,698.24	$2,454.71	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $2,344.23	Professional		$812.83	$1,071.52	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $870.96	Facility		$758.58	$758.58	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,479.11 / $2,754.23	Professional		$870.96	$1,479.11	$2,754.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,288.25 / $2,238.72	Facility		$870.96	$1,288.25	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,348.96 / $2,290.87	Professional		$870.96	$1,348.96	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $69.18	Professional		$32.36	$33.11	$69.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $1,862.09	Facility		$1,348.96	$1,737.80	$1,862.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $2,630.27	Professional		$1,258.93	$1,949.84	$2,630.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,344.23	Professional		$1,258.93	$1,737.80	$2,344.23
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 $933.25 / $1,380.38 / $2,570.40	Professional		$933.25	$1,380.38	$2,570.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $977.24 / $1,621.81	Professional		$851.14	$977.24	$1,621.81