Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,019.95 / $20,892.96	Facility		$2,238.72	$3,019.95	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $3,311.31	Professional		$1,071.52	$1,479.11	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,238.72 / $3,548.13	Professional		$1,445.44	$2,238.72	$3,548.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,454.71 / $3,090.30	Facility		$1,445.44	$2,454.71	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,511.89 / $3,090.30	Professional		$1,513.56	$2,511.89	$3,090.30
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 $1,949.84 / $2,290.87 / $2,398.83	Facility		$1,949.84	$2,290.87	$2,398.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,659.59	Facility		$1,584.89	$1,584.89	$1,659.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,754.23 / $3,467.37	Professional		$1,659.59	$2,754.23	$3,467.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $3,090.30	Professional		$1,621.81	$2,344.23	$3,090.30
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 $1,174.90 / $1,862.09 / $3,388.44	Professional		$1,174.90	$1,862.09	$3,388.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,949.84	Professional		$1,023.29	$1,380.38	$1,949.84