Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $8,709.64 / $20,892.96	Facility		$5,248.07	$8,709.64	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,365.16 / $10,232.93	Professional		$3,548.13	$4,365.16	$10,232.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $7,762.47 / $12,302.69	Professional		$5,011.87	$7,762.47	$12,302.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $8,511.38 / $10,471.29	Facility		$4,365.16	$8,511.38	$10,471.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $8,511.38 / $10,715.19	Professional		$4,677.35	$8,511.38	$10,715.19
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 $5,623.41 / $7,413.10 / $8,511.38	Facility		$5,623.41	$7,413.10	$8,511.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,754.40	Facility		$5,623.41	$5,623.41	$5,754.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $9,549.93 / $12,302.69	Professional		$5,754.40	$9,549.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $8,128.31 / $10,964.78	Professional		$5,754.40	$8,128.31	$10,964.78
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 $4,168.69 / $6,456.54 / $12,022.64	Professional		$4,168.69	$6,456.54	$12,022.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,623.41 / $7,762.47	Professional		$4,168.69	$5,623.41	$7,762.47