Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,818.38 / $20,892.96	Facility		$1,819.70	$2,818.38	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $2,818.38	Professional		$912.01	$1,230.27	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,819.70 / $2,951.21	Professional		$1,202.26	$1,819.70	$2,951.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,041.74 / $2,511.89	Facility		$1,230.27	$2,041.74	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $2,511.89	Professional		$1,258.93	$2,089.30	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $61.66	Professional		$32.36	$33.11	$61.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,905.46 / $1,995.26	Facility		$1,659.59	$1,905.46	$1,995.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,238.72 / $2,884.03	Professional		$1,348.96	$2,238.72	$2,884.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $2,570.40	Professional		$1,380.38	$1,949.84	$2,570.40
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 $977.24 / $1,584.89 / $2,884.03	Professional		$977.24	$1,584.89	$2,884.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,819.70	Professional		$954.99	$1,288.25	$1,819.70