Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $6,760.83 / $20,892.96	Facility		$3,801.89	$6,760.83	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,162.28 / $7,413.10	Professional		$2,511.89	$3,162.28	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,495.41 / $8,912.51	Professional		$3,388.44	$5,495.41	$8,912.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $6,025.60 / $7,244.36	Facility		$3,467.37	$6,025.60	$7,244.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $6,025.60 / $7,244.36	Professional		$3,467.37	$6,025.60	$7,244.36
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 $4,168.69 / $5,370.32 / $6,165.95	Facility		$4,168.69	$5,370.32	$6,165.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $4,168.69	Facility		$3,630.78	$3,630.78	$4,168.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $6,309.57 / $8,912.51	Professional		$4,073.80	$6,309.57	$8,912.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $5,623.41 / $7,943.28	Professional		$3,630.78	$5,623.41	$7,943.28
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 / $4,265.80 / $7,762.47	Professional		$2,630.27	$4,265.80	$7,762.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,311.31 / $4,677.35	Professional		$2,454.71	$3,311.31	$4,677.35