Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,248.07 / $20,892.96	Facility		$2,818.38	$5,248.07	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $5,623.41	Professional		$1,995.26	$2,570.40	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,890.45 / $6,165.95	Professional		$2,511.89	$3,890.45	$6,165.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,265.80 / $5,248.07	Facility		$2,570.40	$4,265.80	$5,248.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,466.84 / $5,370.32	Professional		$2,630.27	$4,466.84	$5,370.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,073.80 / $4,168.69	Facility		$3,467.37	$4,073.80	$4,168.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,884.03	Facility		$2,818.38	$2,818.38	$2,884.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,677.35 / $6,165.95	Professional		$2,884.03	$4,677.35	$6,165.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,981.07 / $5,370.32	Professional		$2,818.38	$3,981.07	$5,370.32
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,454.71 / $37,153.52	Facility		$707.95	$2,454.71	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,388.44 / $6,025.60	Professional		$2,089.30	$3,388.44	$6,025.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $3,548.13	Professional		$1,862.09	$2,511.89	$3,548.13