Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,019.95 / $20,892.96	Facility		$2,187.76	$3,019.95	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $3,630.78	Professional		$1,174.90	$1,513.56	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,187.76 / $3,467.37	Professional		$1,479.11	$2,187.76	$3,467.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,570.40 / $3,235.94	Facility		$1,479.11	$2,570.40	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,570.40 / $3,235.94	Professional		$1,479.11	$2,570.40	$3,235.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $74.13	Professional		$32.36	$33.11	$74.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $2,398.83	Facility		$1,949.84	$2,290.87	$2,398.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,621.81	Facility		$1,584.89	$1,584.89	$1,621.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,691.53 / $3,467.37	Professional		$1,621.81	$2,691.53	$3,467.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $3,162.28	Professional		$1,621.81	$2,344.23	$3,162.28
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 $1,258.93 / $1,778.28 / $3,235.94	Professional		$1,258.93	$1,778.28	$3,235.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $2,187.76	Professional		$1,318.26	$1,548.82	$2,187.76