Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $6,606.93 / $20,892.96	Facility		$3,467.37	$6,606.93	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,235.94 / $7,585.78	Professional		$2,511.89	$3,235.94	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,248.07 / $8,317.64	Professional		$3,388.44	$5,248.07	$8,317.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,754.40 / $7,244.36	Facility		$3,467.37	$5,754.40	$7,244.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,888.44 / $7,244.36	Professional		$3,548.13	$5,888.44	$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 $4,570.88 / $5,370.32 / $5,754.40	Facility		$4,570.88	$5,370.32	$5,754.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,981.07	Facility		$3,801.89	$3,801.89	$3,981.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $6,456.54 / $8,511.38	Professional		$3,981.07	$6,456.54	$8,511.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,623.41 / $7,413.10	Professional		$3,890.45	$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 $2,754.23 / $4,570.88 / $8,128.31	Professional		$2,754.23	$4,570.88	$8,128.31
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