Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,165.95 / $20,892.96	Facility		$3,235.94	$6,165.95	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $6,165.95	Professional		$2,187.76	$2,818.38	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,786.30 / $7,585.78	Professional		$2,884.03	$4,786.30	$7,585.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,128.61 / $6,456.54	Facility		$2,951.21	$5,128.61	$6,456.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $5,248.07 / $6,606.93	Professional		$3,019.95	$5,248.07	$6,606.93
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 $3,467.37 / $4,677.35 / $5,128.61	Facility		$3,467.37	$4,677.35	$5,128.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,548.13	Facility		$3,467.37	$3,467.37	$3,548.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,888.44 / $7,413.10	Professional		$3,548.13	$5,888.44	$7,413.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,897.79 / $6,606.93	Professional		$3,548.13	$4,897.79	$6,606.93
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 / $3,890.45 / $7,079.46	Professional		$2,630.27	$3,890.45	$7,079.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,548.13 / $5,011.87	Professional		$2,630.27	$3,548.13	$5,011.87