Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $6,165.95 / $20,892.96	Facility		$3,090.30	$6,165.95	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $7,079.46	Professional		$2,137.96	$2,884.03	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,570.88 / $7,413.10	Professional		$2,884.03	$4,570.88	$7,413.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,011.87 / $6,309.57	Facility		$3,019.95	$5,011.87	$6,309.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $5,011.87 / $6,309.57	Professional		$3,162.28	$5,011.87	$6,309.57
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 / $4,677.35 / $4,897.79	Facility		$3,890.45	$4,677.35	$4,897.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $5,623.41 / $7,079.46	Professional		$3,311.31	$5,623.41	$7,079.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $6,309.57	Professional		$3,311.31	$4,786.30	$6,309.57
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 $2,398.83 / $3,890.45 / $6,918.31	Professional		$2,398.83	$3,890.45	$6,918.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $3,981.07	Professional		$2,089.30	$2,818.38	$3,981.07