Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,248.07 / $12,302.69	Professional		$3,890.45	$5,248.07	$12,302.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $8,317.64 / $13,182.57	Professional		$5,248.07	$8,317.64	$13,182.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $9,120.11 / $11,220.18	Facility		$5,370.32	$9,120.11	$11,220.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $9,332.54 / $11,220.18	Professional		$5,623.41	$9,332.54	$11,220.18
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 $6,918.31 / $8,511.38 / $9,120.11	Facility		$6,918.31	$8,511.38	$9,120.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,165.95	Facility		$6,025.60	$6,025.60	$6,165.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $10,232.93 / $13,182.57	Professional		$6,165.95	$10,232.93	$13,182.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $8,912.51 / $11,748.98	Professional		$6,165.95	$8,912.51	$11,748.98
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 $4,466.84 / $7,244.36 / $12,882.50	Professional		$4,466.84	$7,244.36	$12,882.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,495.41 / $7,762.47	Professional		$4,073.80	$5,495.41	$7,762.47