Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,818.38 / $20,892.96	Facility		$1,698.24	$2,818.38	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $2,951.21	Professional		$912.01	$1,148.15	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,819.70 / $2,691.53	Professional		$1,122.02	$1,819.70	$2,691.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,949.84 / $2,570.40	Facility		$1,148.15	$1,949.84	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,949.84 / $2,570.40	Professional		$1,148.15	$1,949.84	$2,570.40
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 $1,513.56 / $1,737.80 / $2,041.74	Facility		$1,513.56	$1,737.80	$2,041.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $2,691.53	Professional		$1,258.93	$2,089.30	$2,691.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $2,454.71	Professional		$1,288.25	$1,819.70	$2,454.71
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 $1,000.00 / $1,445.44 / $2,570.40	Professional		$1,000.00	$1,445.44	$2,570.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,584.89	Professional		$977.24	$1,148.15	$1,584.89