Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $8,912.51 / $21,877.62	Facility		$4,897.79	$8,912.51	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,570.88 / $10,471.29	Professional		$3,548.13	$4,570.88	$10,471.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $7,413.10 / $11,748.98	Professional		$4,786.30	$7,413.10	$11,748.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $8,128.31 / $10,232.93	Facility		$4,897.79	$8,128.31	$10,232.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $10,232.93	Professional		$5,011.87	$8,317.64	$10,232.93
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 $5,754.40 / $7,585.78 / $8,128.31	Facility		$5,754.40	$7,585.78	$8,128.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,623.41	Facility		$5,370.32	$5,370.32	$5,623.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $9,120.11 / $11,748.98	Professional		$5,623.41	$9,120.11	$11,748.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $7,943.28 / $10,471.29	Professional		$5,495.41	$7,943.28	$10,471.29
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 $3,981.07 / $6,456.54 / $11,481.54	Professional		$3,981.07	$6,456.54	$11,481.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,011.87 / $7,079.46	Professional		$3,715.35	$5,011.87	$7,079.46