Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $20,892.96	Facility		$1,380.38	$1,995.26	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $1,949.84	Professional		$575.44	$812.83	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $870.96	Facility		$707.95	$758.58	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,202.26 / $2,344.23	Professional		$645.65	$1,202.26	$2,344.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $912.01 / $1,862.09	Facility		$630.96	$912.01	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,862.09	Professional		$645.65	$954.99	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $346.74	Professional		$32.36	$33.11	$346.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,348.96 / $1,584.89	Facility		$933.25	$1,348.96	$1,584.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,071.52	Facility		$1,047.13	$1,047.13	$1,071.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $2,238.72	Professional		$1,071.52	$1,659.59	$2,238.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $1,995.26	Professional		$1,071.52	$1,479.11	$1,995.26
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 $724.44 / $1,122.02 / $2,137.96	Professional		$724.44	$1,122.02	$2,137.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $831.76 / $1,380.38	Professional		$724.44	$831.76	$1,380.38