Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,691.53 / $20,892.96	Facility		$1,737.80	$2,691.53	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $2,691.53	Professional		$851.14	$1,148.15	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $2,754.23	Professional		$1,122.02	$1,737.80	$2,754.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $2,344.23	Facility		$1,148.15	$1,905.46	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,949.84 / $2,398.83	Professional		$1,174.90	$1,949.84	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $58.88	Professional		$32.36	$33.11	$58.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $1,862.09	Facility		$1,548.82	$1,819.70	$1,862.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,288.25	Facility		$1,258.93	$1,258.93	$1,288.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $2,754.23	Professional		$1,288.25	$2,137.96	$2,754.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $2,398.83	Professional		$1,288.25	$1,819.70	$2,398.83
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 $912.01 / $1,513.56 / $2,691.53	Professional		$912.01	$1,513.56	$2,691.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,737.80	Professional		$912.01	$1,230.27	$1,737.80