Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,818.38 / $20,892.96	Facility		$1,819.70	$2,818.38	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $3,162.28	Professional		$1,000.00	$1,230.27	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $2,884.03	Professional		$1,288.25	$1,862.09	$2,884.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,137.96 / $2,951.21	Facility		$1,318.26	$2,137.96	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,137.96 / $2,884.03	Professional		$1,318.26	$2,137.96	$2,884.03
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 $1,659.59 / $1,905.46 / $2,137.96	Facility		$1,659.59	$1,905.46	$2,137.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,380.38	Facility		$1,348.96	$1,348.96	$1,380.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,238.72 / $2,884.03	Professional		$1,380.38	$2,238.72	$2,884.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $2,630.27	Professional		$1,380.38	$1,949.84	$2,630.27
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 $1,071.52 / $1,584.89 / $2,754.23	Professional		$1,071.52	$1,584.89	$2,754.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,737.80	Professional		$1,047.13	$1,230.27	$1,737.80