Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,413.10 / $20,892.96	Facility		$4,073.80	$7,413.10	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,715.35 / $8,128.31	Professional		$2,818.38	$3,715.35	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $6,165.95 / $9,772.37	Professional		$3,890.45	$6,165.95	$9,772.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,760.83 / $8,317.64	Facility		$3,890.45	$6,760.83	$8,317.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $6,760.83 / $8,511.38	Professional		$3,981.07	$6,760.83	$8,511.38
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 $4,677.35 / $6,165.95 / $6,606.93	Facility		$4,677.35	$6,165.95	$6,606.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,570.88	Facility		$4,466.84	$4,466.84	$4,570.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $7,585.78 / $9,549.93	Professional		$4,570.88	$7,585.78	$9,549.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $6,456.54 / $8,511.38	Professional		$4,570.88	$6,456.54	$8,511.38
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 $3,235.94 / $5,128.61 / $9,332.54	Professional		$3,235.94	$5,128.61	$9,332.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,365.16 / $6,025.60	Professional		$3,235.94	$4,365.16	$6,025.60