Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,677.35 / $20,892.96	Facility		$2,818.38	$4,677.35	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $4,786.30	Professional		$1,659.59	$2,041.74	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,467.37 / $5,495.41	Professional		$2,238.72	$3,467.37	$5,495.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,890.45 / $4,786.30	Facility		$2,290.87	$3,890.45	$4,786.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,890.45 / $4,786.30	Professional		$2,344.23	$3,890.45	$4,786.30
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 $2,691.53 / $3,548.13 / $3,801.89	Facility		$2,691.53	$3,548.13	$3,801.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,630.27	Facility		$2,511.89	$2,511.89	$2,630.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,265.80 / $5,623.41	Professional		$2,630.27	$4,265.80	$5,623.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,630.78 / $4,897.79	Professional		$2,570.40	$3,630.78	$4,897.79
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 $1,819.70 / $2,951.21 / $5,370.32	Professional		$1,819.70	$2,951.21	$5,370.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $3,388.44	Professional		$1,778.28	$2,398.83	$3,388.44