Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,187.76 / $20,892.96	Facility		$1,445.44	$2,187.76	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $2,290.87	Professional		$758.58	$977.24	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,548.82 / $2,290.87	Professional		$977.24	$1,548.82	$2,290.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,659.59 / $2,137.96	Facility		$954.99	$1,659.59	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,659.59 / $2,137.96	Professional		$954.99	$1,659.59	$2,137.96
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 $1,288.25 / $1,479.11 / $1,548.82	Facility		$1,288.25	$1,479.11	$1,548.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,071.52	Facility		$1,047.13	$1,047.13	$1,071.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $2,290.87	Professional		$1,071.52	$1,737.80	$2,290.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $2,041.74	Professional		$1,071.52	$1,513.56	$2,041.74
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 $812.83 / $1,148.15 / $2,137.96	Professional		$812.83	$1,148.15	$2,137.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,479.11	Professional		$891.25	$1,047.13	$1,479.11