Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,818.38 / $20,892.96	Facility		$1,949.84	$2,818.38	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $3,090.30	Professional		$1,023.29	$1,318.26	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $3,090.30	Professional		$1,318.26	$1,949.84	$3,090.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,238.72 / $2,818.38	Facility		$1,288.25	$2,238.72	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,238.72 / $2,818.38	Professional		$1,288.25	$2,238.72	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $66.07	Professional		$32.36	$33.11	$66.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,995.26 / $2,137.96	Facility		$1,737.80	$1,995.26	$2,137.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,445.44	Facility		$1,412.54	$1,412.54	$1,445.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,398.83 / $3,090.30	Professional		$1,445.44	$2,398.83	$3,090.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $2,818.38	Professional		$1,445.44	$2,089.30	$2,818.38
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 $1,096.48 / $1,548.82 / $2,884.03	Professional		$1,096.48	$1,548.82	$2,884.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $1,905.46	Professional		$1,148.15	$1,348.96	$1,905.46