Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $20,892.96	Facility		$1,737.80	$2,511.89	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $2,884.03	Professional		$954.99	$1,230.27	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $2,884.03	Professional		$1,230.27	$1,819.70	$2,884.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,089.30 / $2,691.53	Facility		$1,202.26	$2,089.30	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,089.30 / $2,691.53	Professional		$1,202.26	$2,089.30	$2,691.53
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 $1,479.11 / $1,862.09 / $1,949.84	Facility		$1,479.11	$1,862.09	$1,949.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,348.96	Facility		$1,318.26	$1,318.26	$1,348.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,187.76 / $2,884.03	Professional		$1,348.96	$2,187.76	$2,884.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $2,570.40	Professional		$1,348.96	$1,905.46	$2,570.40
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 $1,023.29 / $1,445.44 / $2,691.53	Professional		$1,023.29	$1,445.44	$2,691.53
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