Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,073.80 / $20,892.96	Facility		$2,818.38	$4,073.80	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $4,677.35	Professional		$1,548.82	$1,995.26	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,884.03 / $4,677.35	Professional		$1,995.26	$2,884.03	$4,677.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,388.44 / $4,365.16	Facility		$1,949.84	$3,388.44	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,388.44 / $4,365.16	Professional		$1,949.84	$3,388.44	$4,365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,019.95 / $3,162.28	Facility		$2,630.27	$3,019.95	$3,162.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,548.13 / $4,570.88	Professional		$2,137.96	$3,548.13	$4,570.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,090.30 / $4,168.69	Professional		$2,187.76	$3,090.30	$4,168.69
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 $1,698.24 / $2,398.83 / $4,365.16	Professional		$1,698.24	$2,398.83	$4,365.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $2,884.03	Professional		$1,737.80	$2,041.74	$2,884.03