Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $20,892.96	Facility		$2,187.76	$3,162.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $3,548.13	Professional		$1,122.02	$1,445.44	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,187.76 / $3,467.37	Professional		$1,412.54	$2,187.76	$3,467.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,398.83 / $3,019.95	Facility		$1,445.44	$2,398.83	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $3,019.95	Professional		$1,479.11	$2,454.71	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $74.13	Professional		$32.36	$33.11	$74.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $2,398.83	Facility		$1,949.84	$2,290.87	$2,398.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,621.81	Facility		$1,548.82	$1,548.82	$1,621.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,630.27 / $3,467.37	Professional		$1,621.81	$2,630.27	$3,467.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $3,019.95	Professional		$1,584.89	$2,238.72	$3,019.95
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 $1,174.90 / $1,905.46 / $3,388.44	Professional		$1,174.90	$1,905.46	$3,388.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $1,995.26	Professional		$1,047.13	$1,445.44	$1,995.26