Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,244.36 / $20,892.96	Facility		$3,981.07	$7,244.36	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,630.78 / $7,762.47	Professional		$2,630.27	$3,630.78	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $5,495.41 / $8,709.64	Professional		$3,630.78	$5,495.41	$8,709.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,165.95 / $7,413.10	Facility		$3,715.35	$6,165.95	$7,413.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $6,309.57 / $7,762.47	Professional		$3,715.35	$6,309.57	$7,762.47
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 $4,365.16 / $5,623.41 / $6,025.60	Facility		$4,365.16	$5,623.41	$6,025.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $6,760.83 / $8,709.64	Professional		$4,073.80	$6,760.83	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,888.44 / $7,762.47	Professional		$4,168.69	$5,888.44	$7,762.47
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 $2,818.38 / $4,677.35 / $8,709.64	Professional		$2,818.38	$4,677.35	$8,709.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,715.35 / $5,248.07	Professional		$2,754.23	$3,715.35	$5,248.07