Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $2,137.96	Professional		$1,148.15	$1,148.15	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,071.52 / $1,071.52	Facility		$169.82	$1,071.52	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $912.01 / $1,318.26	Professional		$169.82	$912.01	$1,318.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $2,454.71	Professional		$204.17	$245.47	$2,454.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,235.94 / $3,890.45	Facility		$1,949.84	$3,235.94	$3,890.45
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,890.45 / $3,890.45	Professional		$3,235.94	$3,890.45	$3,890.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $204.17 / $2,041.74	Facility		$190.55	$204.17	$2,041.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $2,041.74	Professional		$190.55	$263.03	$2,041.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $190.55	Professional		$154.88	$190.55	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $660.69 / $1,548.82	Facility		$11.75	$660.69	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $977.24 / $1,621.81	Professional		$912.01	$977.24	$1,621.81