Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,606.93 / $20,892.96	Facility		$3,630.78	$6,606.93	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,235.94 / $7,079.46	Professional		$2,454.71	$3,235.94	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,370.32 / $8,511.38	Professional		$3,388.44	$5,370.32	$8,511.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $7,244.36	Facility		$3,388.44	$5,888.44	$7,244.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $5,888.44 / $7,413.10	Professional		$3,467.37	$5,888.44	$7,413.10
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 $4,073.80 / $5,370.32 / $5,754.40	Facility		$4,073.80	$5,370.32	$5,754.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,981.07	Facility		$3,890.45	$3,890.45	$3,981.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $6,606.93 / $8,317.64	Professional		$3,981.07	$6,606.93	$8,317.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,623.41 / $7,413.10	Professional		$3,981.07	$5,623.41	$7,413.10
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 $2,818.38 / $4,466.84 / $8,128.31	Professional		$2,818.38	$4,466.84	$8,128.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,801.89 / $5,370.32	Professional		$2,818.38	$3,801.89	$5,370.32