Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,888.44 / $20,892.96	Facility		$3,090.30	$5,888.44	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $6,025.60	Professional		$1,905.46	$2,630.27	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,677.35 / $7,585.78	Professional		$3,019.95	$4,677.35	$7,585.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,128.61 / $6,309.57	Facility		$2,754.23	$5,128.61	$6,309.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $5,248.07 / $6,456.54	Professional		$2,884.03	$5,248.07	$6,456.54
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 $3,467.37 / $4,570.88 / $5,128.61	Facility		$3,467.37	$4,570.88	$5,128.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,548.13	Facility		$3,388.44	$3,388.44	$3,548.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,888.44 / $7,585.78	Professional		$3,548.13	$5,888.44	$7,585.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $5,011.87 / $6,606.93	Professional		$3,467.37	$5,011.87	$6,606.93
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 $2,454.71 / $3,890.45 / $7,244.36	Professional		$2,454.71	$3,890.45	$7,244.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,235.94 / $4,570.88	Professional		$2,398.83	$3,235.94	$4,570.88