Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,309.57 / $20,892.96	Facility		$3,235.94	$6,309.57	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,235.94 / $7,762.47	Professional		$2,511.89	$3,235.94	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,677.35 / $7,413.10	Professional		$3,162.28	$4,677.35	$7,413.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,495.41 / $7,079.46	Facility		$3,162.28	$5,495.41	$7,079.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $5,495.41 / $7,079.46	Professional		$3,162.28	$5,495.41	$7,079.46
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 $4,168.69 / $4,897.79 / $5,128.61	Facility		$4,168.69	$4,897.79	$5,128.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $5,754.40 / $7,413.10	Professional		$3,467.37	$5,754.40	$7,413.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,011.87 / $6,760.83	Professional		$3,548.13	$5,011.87	$6,760.83
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 $2,454.71 / $3,890.45 / $7,079.46	Professional		$2,454.71	$3,890.45	$7,079.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,235.94 / $4,570.88	Professional		$2,754.23	$3,235.94	$4,570.88