Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,818.38 / $20,892.96	Facility		$1,862.09	$2,818.38	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $3,019.95	Professional		$891.25	$1,230.27	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,862.09 / $2,951.21	Professional		$1,258.93	$1,862.09	$2,951.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $2,754.23	Facility		$1,258.93	$2,137.96	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $2,754.23	Professional		$1,258.93	$2,137.96	$2,754.23
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 $1,659.59 / $1,905.46 / $2,089.30	Facility		$1,659.59	$1,905.46	$2,089.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,380.38	Facility		$1,348.96	$1,348.96	$1,380.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,290.87 / $2,951.21	Professional		$1,380.38	$2,290.87	$2,951.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $2,691.53	Professional		$1,380.38	$1,995.26	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $12,302.69 / $20,417.38	Facility		$8,511.38	$12,302.69	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $2,754.23	Professional		$1,071.52	$1,548.82	$2,754.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $1,819.70	Professional		$1,096.48	$1,288.25	$1,819.70