Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,884.03 / $20,892.96	Facility		$2,041.74	$2,884.03	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $3,630.78	Professional		$1,096.48	$1,380.38	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,041.74 / $3,235.94	Professional		$1,348.96	$2,041.74	$3,235.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,344.23 / $3,090.30	Facility		$1,380.38	$2,344.23	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,344.23 / $3,090.30	Professional		$1,380.38	$2,344.23	$3,090.30
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 $1,819.70 / $2,089.30 / $2,290.87	Facility		$1,819.70	$2,089.30	$2,290.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,511.89 / $3,235.94	Professional		$1,513.56	$2,511.89	$3,235.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $2,951.21	Professional		$1,548.82	$2,187.76	$2,951.21
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 $1,202.26 / $1,737.80 / $3,090.30	Professional		$1,202.26	$1,737.80	$3,090.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $1,905.46	Professional		$1,148.15	$1,348.96	$1,905.46