Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $6,760.83 / $20,892.96	Facility		$3,548.13	$6,760.83	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,548.13 / $8,511.38	Professional		$2,754.23	$3,548.13	$8,511.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,248.07 / $8,317.64	Professional		$3,388.44	$5,248.07	$8,317.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $6,025.60 / $7,762.47	Facility		$3,467.37	$6,025.60	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $6,025.60 / $7,762.47	Professional		$3,467.37	$6,025.60	$7,762.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,370.32 / $5,623.41	Facility		$4,365.16	$5,370.32	$5,623.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,890.45	Facility		$3,801.89	$3,801.89	$3,890.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $6,309.57 / $8,317.64	Professional		$3,890.45	$6,309.57	$8,317.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,623.41 / $7,585.78	Professional		$3,890.45	$5,623.41	$7,585.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,311.31 / $37,153.52	Facility		$1,122.02	$3,311.31	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,265.80 / $7,943.28	Professional		$2,691.53	$4,265.80	$7,943.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,548.13 / $5,011.87	Professional		$3,019.95	$3,548.13	$5,011.87