Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,897.79 / $20,892.96	Facility		$3,715.35	$4,897.79	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $5,370.32	Professional		$1,778.28	$2,238.72	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,715.35 / $5,888.44	Professional		$2,398.83	$3,715.35	$5,888.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,073.80 / $5,011.87	Facility		$2,398.83	$4,073.80	$5,011.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $4,168.69 / $5,011.87	Professional		$2,454.71	$4,168.69	$5,011.87
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 $2,951.21 / $3,801.89 / $4,073.80	Facility		$2,951.21	$3,801.89	$4,073.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,754.23	Facility		$2,691.53	$2,691.53	$2,754.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,570.88 / $5,888.44	Professional		$2,754.23	$4,570.88	$5,888.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,890.45 / $5,128.61	Professional		$2,754.23	$3,890.45	$5,128.61
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 $1,949.84 / $3,162.28 / $5,623.41	Professional		$1,949.84	$3,162.28	$5,623.41
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