Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,943.28 / $20,892.96	Facility		$4,365.16	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,365.16 / $11,748.98	Professional		$3,311.31	$4,365.16	$11,748.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $6,309.57 / $10,000.00	Professional		$4,168.69	$6,309.57	$10,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,244.36 / $9,332.54	Facility		$4,265.80	$7,244.36	$9,332.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $7,244.36 / $9,332.54	Professional		$4,265.80	$7,244.36	$9,332.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $6,456.54 / $6,918.31	Facility		$5,623.41	$6,456.54	$6,918.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility		$4,677.35	$4,677.35	$4,677.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $7,762.47 / $10,000.00	Professional		$4,677.35	$7,762.47	$10,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $6,760.83 / $9,120.11	Professional		$4,677.35	$6,760.83	$9,120.11
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 $3,630.78 / $5,248.07 / $9,549.93	Professional		$3,630.78	$5,248.07	$9,549.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,265.80 / $6,025.60	Professional		$3,630.78	$4,265.80	$6,025.60