Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,762.47 / $20,892.96	Facility		$3,981.07	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,981.07 / $10,964.78	Professional		$3,019.95	$3,981.07	$10,964.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,754.40 / $9,120.11	Professional		$3,890.45	$5,754.40	$9,120.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $6,760.83 / $8,709.64	Facility		$3,981.07	$6,760.83	$8,709.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $6,760.83 / $8,709.64	Professional		$3,981.07	$6,760.83	$8,709.64
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 $4,897.79 / $6,025.60 / $6,309.57	Facility		$4,897.79	$6,025.60	$6,309.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Facility		$4,265.80	$4,265.80	$4,265.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $7,079.46 / $9,120.11	Professional		$4,265.80	$7,079.46	$9,120.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $6,165.95 / $8,317.64	Professional		$4,365.16	$6,165.95	$8,317.64
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 $3,019.95 / $4,786.30 / $8,709.64	Professional		$3,019.95	$4,786.30	$8,709.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,981.07 / $5,623.41	Professional		$3,388.44	$3,981.07	$5,623.41