Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,311.31 / $20,892.96	Facility		$2,454.71	$3,311.31	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $3,890.45	Professional		$1,318.26	$1,698.24	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,454.71 / $3,981.07	Professional		$1,659.59	$2,454.71	$3,981.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,884.03 / $3,715.35	Facility		$1,698.24	$2,884.03	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,884.03 / $3,715.35	Professional		$1,698.24	$2,884.03	$3,715.35
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 $2,089.30 / $2,570.40 / $2,691.53	Facility		$2,089.30	$2,570.40	$2,691.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,862.09	Facility		$1,819.70	$1,819.70	$1,862.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,019.95 / $3,981.07	Professional		$1,862.09	$3,019.95	$3,981.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,630.27 / $3,548.13	Professional		$1,862.09	$2,630.27	$3,548.13
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 $1,380.38 / $2,041.74 / $3,715.35	Professional		$1,380.38	$2,041.74	$3,715.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $2,454.71	Professional		$1,479.11	$1,737.80	$2,454.71