Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $7,943.28 / $24,547.09	Facility		$2,344.23	$7,943.28	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $3,162.28	Professional		$1,071.52	$1,380.38	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,344.23 / $3,715.35	Professional		$1,479.11	$2,344.23	$3,715.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $3,162.28	Facility		$1,513.56	$2,570.40	$3,162.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,570.40 / $3,162.28	Professional		$1,584.89	$2,570.40	$3,162.28
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 $1,819.70 / $2,398.83 / $2,511.89	Facility		$1,819.70	$2,398.83	$2,511.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,698.24	Facility		$1,659.59	$1,659.59	$1,698.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,818.38 / $3,630.78	Professional		$1,698.24	$2,818.38	$3,630.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $3,235.94	Professional		$1,698.24	$2,398.83	$3,235.94
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 $1,230.27 / $1,949.84 / $3,548.13	Professional		$1,230.27	$1,949.84	$3,548.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $2,041.74	Professional		$1,071.52	$1,445.44	$2,041.74