Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $6,165.95 / $20,892.96	Facility		$3,388.44	$6,165.95	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,951.21 / $6,606.93	Professional		$2,238.72	$2,951.21	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,570.88 / $7,244.36	Professional		$2,884.03	$4,570.88	$7,244.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,011.87 / $6,165.95	Facility		$3,019.95	$5,011.87	$6,165.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $5,128.61 / $6,309.57	Professional		$3,090.30	$5,128.61	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,677.35 / $4,786.30	Facility		$3,548.13	$4,677.35	$4,786.30
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 / $5,495.41 / $6,918.31	Professional		$3,311.31	$5,495.41	$6,918.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $6,165.95	Professional		$3,311.31	$4,786.30	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,454.71 / $37,153.52	Facility		$707.95	$2,454.71	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,801.89 / $6,918.31	Professional		$2,398.83	$3,801.89	$6,918.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $4,073.80	Professional		$2,137.96	$2,884.03	$4,073.80