Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,897.79 / $20,892.96	Facility		$2,818.38	$4,897.79	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $7,079.46	Professional		$1,698.24	$2,454.71	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,548.13 / $5,623.41	Professional		$2,344.23	$3,548.13	$5,623.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,073.80 / $5,248.07	Facility		$2,398.83	$4,073.80	$5,248.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,073.80 / $5,248.07	Professional		$2,398.83	$4,073.80	$5,248.07
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 $3,162.28 / $3,630.78 / $4,073.80	Facility		$3,162.28	$3,630.78	$4,073.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,630.27	Facility		$2,570.40	$2,570.40	$2,630.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,265.80 / $5,623.41	Professional		$2,630.27	$4,265.80	$5,623.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,801.89 / $5,128.61	Professional		$2,630.27	$3,801.89	$5,128.61
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 $2,041.74 / $2,884.03 / $5,370.32	Professional		$2,041.74	$2,884.03	$5,370.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $3,388.44	Professional		$2,041.74	$2,398.83	$3,388.44