Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,951.21 / $20,892.96	Facility		$2,089.30	$2,951.21	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $3,235.94	Professional		$1,071.52	$1,380.38	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $3,388.44	Professional		$1,380.38	$2,137.96	$3,388.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,344.23 / $2,884.03	Facility		$1,412.54	$2,344.23	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,398.83 / $2,884.03	Professional		$1,412.54	$2,398.83	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $72.44	Professional		$32.36	$33.11	$72.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $2,290.87	Facility		$1,862.09	$2,187.76	$2,290.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,548.82	Facility		$1,513.56	$1,513.56	$1,548.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,570.40 / $3,311.31	Professional		$1,548.82	$2,570.40	$3,311.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $2,884.03	Professional		$1,548.82	$2,187.76	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,454.71 / $37,153.52	Facility		$707.95	$2,454.71	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $3,235.94	Professional		$1,148.15	$1,819.70	$3,235.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,949.84	Professional		$1,023.29	$1,380.38	$1,949.84