Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,548.13 / $20,892.96	Facility		$2,570.40	$3,548.13	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $4,168.69	Professional		$1,348.96	$1,737.80	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,570.40 / $4,073.80	Professional		$1,659.59	$2,570.40	$4,073.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,951.21 / $3,801.89	Facility		$1,698.24	$2,951.21	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,951.21 / $3,801.89	Professional		$1,698.24	$2,951.21	$3,801.89
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 $2,290.87 / $2,630.27 / $2,754.23	Facility		$2,290.87	$2,630.27	$2,754.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,905.46	Facility		$1,862.09	$1,862.09	$1,905.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,090.30 / $4,073.80	Professional		$1,905.46	$3,090.30	$4,073.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $3,630.78	Professional		$1,905.46	$2,754.23	$3,630.78
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 $1,445.44 / $2,041.74 / $3,801.89	Professional		$1,445.44	$2,041.74	$3,801.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $2,511.89	Professional		$1,513.56	$1,778.28	$2,511.89