Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,370.32 / $20,892.96	Facility		$2,818.38	$5,370.32	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $6,606.93	Professional		$2,137.96	$2,754.23	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,981.07 / $6,309.57	Professional		$2,691.53	$3,981.07	$6,309.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,570.88 / $6,025.60	Facility		$2,754.23	$4,570.88	$6,025.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,570.88 / $6,025.60	Professional		$2,754.23	$4,570.88	$6,025.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $128.82	Professional		$32.36	$33.11	$128.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,981.07 / $4,466.84	Facility		$3,467.37	$3,981.07	$4,466.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility		$2,951.21	$2,951.21	$2,951.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,897.79 / $6,165.95	Professional		$2,951.21	$4,897.79	$6,165.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,265.80 / $5,754.40	Professional		$3,019.95	$4,265.80	$5,754.40
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 $2,344.23 / $3,388.44 / $6,025.60	Professional		$2,344.23	$3,388.44	$6,025.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $3,630.78	Professional		$2,187.76	$2,570.40	$3,630.78