Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,466.84 / $20,892.96	Facility		$2,818.38	$4,466.84	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $4,265.80	Professional		$1,548.82	$2,089.30	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,235.94 / $5,128.61	Professional		$2,089.30	$3,235.94	$5,128.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,548.13 / $4,365.16	Facility		$2,137.96	$3,548.13	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,715.35 / $4,466.84	Professional		$2,187.76	$3,715.35	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,311.31 / $3,467.37	Facility		$2,884.03	$3,311.31	$3,467.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,398.83	Facility		$2,344.23	$2,344.23	$2,398.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,981.07 / $5,128.61	Professional		$2,398.83	$3,981.07	$5,128.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,467.37 / $4,466.84	Professional		$2,398.83	$3,467.37	$4,466.84
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 $1,737.80 / $2,884.03 / $5,011.87	Professional		$1,737.80	$2,884.03	$5,011.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $3,090.30	Professional		$1,621.81	$2,187.76	$3,090.30