Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $10,232.93 / $28,183.83	Facility		$1,380.38	$10,232.93	$28,183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,122.02 / $2,344.23	Professional		$371.54	$1,122.02	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $64.57	Professional		$32.36	$50.12	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $2,187.76	Facility		$1,122.02	$1,659.59	$2,187.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,570.40 / $3,162.28	Professional		$1,548.82	$2,570.40	$3,162.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $3,019.95	Professional		$1,584.89	$2,089.30	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,311.31 / $37,153.52	Facility		$1,122.02	$3,311.31	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $3,090.30	Professional		$1,174.90	$1,698.24	$3,090.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96