Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,456.54 / $20,892.96	Facility		$3,630.78	$6,456.54	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,162.28 / $7,079.46	Professional		$2,454.71	$3,162.28	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $5,128.61 / $8,317.64	Professional		$3,090.30	$5,128.61	$8,317.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,495.41 / $6,918.31	Facility		$3,311.31	$5,495.41	$6,918.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $5,495.41 / $7,079.46	Professional		$3,467.37	$5,495.41	$7,079.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $5,495.41	Facility		$3,890.45	$5,128.61	$5,495.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,801.89	Facility		$3,715.35	$3,715.35	$3,801.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $6,165.95 / $7,943.28	Professional		$3,715.35	$6,165.95	$7,943.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,370.32 / $6,918.31	Professional		$3,890.45	$5,370.32	$6,918.31
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 $2,630.27 / $4,168.69 / $7,762.47	Professional		$2,630.27	$4,168.69	$7,762.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,235.94 / $4,570.88	Professional		$2,398.83	$3,235.94	$4,570.88