Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $20,892.96	Facility		$1,513.56	$2,398.83	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $2,630.27	Professional		$812.83	$1,023.29	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $2,398.83	Professional		$1,023.29	$1,513.56	$2,398.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,737.80 / $2,238.72	Facility		$1,023.29	$1,737.80	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,737.80 / $2,238.72	Professional		$1,023.29	$1,737.80	$2,238.72
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 $1,348.96 / $1,548.82 / $1,659.59	Facility		$1,348.96	$1,548.82	$1,659.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,862.09 / $2,398.83	Professional		$1,122.02	$1,862.09	$2,398.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $2,187.76	Professional		$1,122.02	$1,621.81	$2,187.76
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 $870.96 / $1,288.25 / $2,290.87	Professional		$870.96	$1,288.25	$2,290.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,412.54	Professional		$870.96	$1,023.29	$1,412.54