Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $7,943.28 / $20,892.96	Facility		$4,677.35	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,168.69 / $9,120.11	Professional		$3,090.30	$4,168.69	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $6,456.54 / $10,232.93	Professional		$4,168.69	$6,456.54	$10,232.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,079.46 / $8,709.64	Facility		$4,265.80	$7,079.46	$8,709.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $7,244.36 / $8,912.51	Professional		$4,365.16	$7,244.36	$8,912.51
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 $5,248.07 / $6,606.93 / $6,918.31	Facility		$5,248.07	$6,606.93	$6,918.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,786.30	Facility		$4,677.35	$4,677.35	$4,786.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $7,943.28 / $10,232.93	Professional		$4,786.30	$7,943.28	$10,232.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,760.83 / $8,912.51	Professional		$4,786.30	$6,760.83	$8,912.51
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 $3,311.31 / $5,623.41 / $10,000.00	Professional		$3,311.31	$5,623.41	$10,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,365.16 / $6,165.95	Professional		$3,235.94	$4,365.16	$6,165.95