Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,623.41 / $20,892.96	Facility		$2,951.21	$5,623.41	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $7,079.46	Professional		$2,187.76	$2,951.21	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,265.80 / $6,760.83	Professional		$2,818.38	$4,265.80	$6,760.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,897.79 / $6,309.57	Facility		$2,884.03	$4,897.79	$6,309.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,897.79 / $6,309.57	Professional		$2,884.03	$4,897.79	$6,309.57
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 $3,801.89 / $4,365.16 / $4,677.35	Facility		$3,801.89	$4,365.16	$4,677.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,162.28	Facility		$3,090.30	$3,090.30	$3,162.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $5,248.07 / $6,760.83	Professional		$3,162.28	$5,248.07	$6,760.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,570.88 / $6,165.95	Professional		$3,162.28	$4,570.88	$6,165.95
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 / $3,467.37 / $6,456.54	Professional		$2,454.71	$3,467.37	$6,456.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $4,073.80	Professional		$2,454.71	$2,884.03	$4,073.80