Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,311.31 / $20,892.96	Facility		$2,238.72	$3,311.31	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $3,548.13	Professional		$1,202.26	$1,548.82	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,238.72 / $3,630.78	Professional		$1,548.82	$2,238.72	$3,630.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,630.27 / $3,388.44	Facility		$1,513.56	$2,630.27	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,630.27 / $3,388.44	Professional		$1,513.56	$2,630.27	$3,388.44
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 $2,041.74 / $2,344.23 / $2,511.89	Facility		$2,041.74	$2,344.23	$2,511.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,754.23 / $3,548.13	Professional		$1,659.59	$2,754.23	$3,548.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $3,235.94	Professional		$1,698.24	$2,398.83	$3,235.94
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 $1,288.25 / $1,819.70 / $3,388.44	Professional		$1,288.25	$1,819.70	$3,388.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $2,238.72	Professional		$1,348.96	$1,584.89	$2,238.72