Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,754.23 / $20,892.96	Facility		$1,778.28	$2,754.23	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $2,884.03	Professional		$933.25	$1,174.90	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $2,818.38	Professional		$1,202.26	$1,778.28	$2,818.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,041.74 / $2,630.27	Facility		$1,174.90	$2,041.74	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,041.74 / $2,630.27	Professional		$1,174.90	$2,041.74	$2,630.27
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 $1,584.89 / $1,819.70 / $1,905.46	Facility		$1,584.89	$1,819.70	$1,905.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,318.26	Facility		$1,288.25	$1,288.25	$1,318.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,137.96 / $2,818.38	Professional		$1,318.26	$2,137.96	$2,818.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $2,511.89	Professional		$1,318.26	$1,905.46	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $13,182.57 / $23,988.33	Facility		$10,964.78	$13,182.57	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $2,630.27	Professional		$1,000.00	$1,445.44	$2,630.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,737.80	Professional		$1,047.13	$1,230.27	$1,737.80