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 $1,949.84 / $2,454.71 / $5,888.44	Professional		$1,949.84	$2,454.71	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,073.80 / $6,456.54	Professional		$2,630.27	$4,073.80	$6,456.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,466.84 / $5,495.41	Facility		$2,691.53	$4,466.84	$5,495.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,570.88 / $5,623.41	Professional		$2,754.23	$4,570.88	$5,623.41
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 $3,311.31 / $4,168.69 / $4,466.84	Facility		$3,311.31	$4,168.69	$4,466.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,019.95	Facility		$2,951.21	$2,951.21	$3,019.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $5,011.87 / $6,456.54	Professional		$3,019.95	$5,011.87	$6,456.54
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 $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 $2,137.96 / $3,467.37 / $6,309.57	Professional		$2,137.96	$3,467.37	$6,309.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $3,890.45	Professional		$2,089.30	$2,818.38	$3,890.45