Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,677.35 / $21,877.62	Facility		$1,412.54	$4,677.35	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $2,041.74	Professional		$707.95	$954.99	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $2,238.72	Professional		$977.24	$1,412.54	$2,238.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,621.81 / $1,995.26	Facility		$933.25	$1,621.81	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,621.81 / $1,995.26	Professional		$933.25	$1,621.81	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,445.44 / $1,513.56	Facility		$1,258.93	$1,445.44	$1,513.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,047.13	Facility		$1,023.29	$1,023.29	$1,047.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $2,238.72	Professional		$1,047.13	$1,698.24	$2,238.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $2,041.74	Professional		$1,047.13	$1,513.56	$2,041.74
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 $812.83 / $1,202.26 / $2,137.96	Professional		$812.83	$1,202.26	$2,137.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $1,258.93	Professional		$758.58	$891.25	$1,258.93