Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $6,309.57 / $20,892.96	Facility		$3,548.13	$6,309.57	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $6,760.83	Professional		$2,398.83	$3,162.28	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,248.07 / $8,511.38	Professional		$3,388.44	$5,248.07	$8,511.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,623.41 / $7,079.46	Facility		$2,884.03	$5,623.41	$7,079.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $5,623.41 / $7,079.46	Professional		$3,090.30	$5,623.41	$7,079.46
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 $3,715.35 / $5,011.87 / $5,754.40	Facility		$3,715.35	$5,011.87	$5,754.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,890.45	Facility		$3,801.89	$3,801.89	$3,890.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $6,456.54 / $8,317.64	Professional		$3,890.45	$6,456.54	$8,317.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,495.41 / $7,413.10	Professional		$3,890.45	$5,495.41	$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 / $4,265.80 / $8,128.31	Professional		$2,818.38	$4,265.80	$8,128.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,715.35 / $5,248.07	Professional		$2,754.23	$3,715.35	$5,248.07