Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,630.78 / $20,892.96	Facility		$2,570.40	$3,630.78	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $4,365.16	Professional		$1,412.54	$1,778.28	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,630.27 / $4,168.69	Professional		$1,737.80	$2,630.27	$4,168.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,019.95 / $3,890.45	Facility		$1,778.28	$3,019.95	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,019.95 / $3,890.45	Professional		$1,778.28	$3,019.95	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $87.10	Professional		$32.36	$33.11	$87.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,691.53 / $2,884.03	Facility		$2,344.23	$2,691.53	$2,884.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,949.84	Facility		$1,905.46	$1,905.46	$1,949.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,162.28 / $4,168.69	Professional		$1,949.84	$3,162.28	$4,168.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,818.38 / $3,801.89	Professional		$1,949.84	$2,818.38	$3,801.89
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 $1,513.56 / $2,187.76 / $3,981.07	Professional		$1,513.56	$2,187.76	$3,981.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $2,344.23	Professional		$1,412.54	$1,659.59	$2,344.23