Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,884.03 / $20,892.96	Facility		$2,041.74	$2,884.03	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $3,235.94	Professional		$1,047.13	$1,348.96	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,041.74 / $3,235.94	Professional		$1,318.26	$2,041.74	$3,235.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,238.72 / $2,818.38	Facility		$1,348.96	$2,238.72	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,290.87 / $2,818.38	Professional		$1,348.96	$2,290.87	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $2,187.76	Facility		$1,819.70	$2,137.96	$2,187.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,513.56	Facility		$1,445.44	$1,445.44	$1,513.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $3,235.94	Professional		$1,513.56	$2,454.71	$3,235.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $2,818.38	Professional		$1,479.11	$2,089.30	$2,818.38
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 $1,096.48 / $1,778.28 / $3,162.28	Professional		$1,096.48	$1,778.28	$3,162.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $1,862.09	Professional		$977.24	$1,318.26	$1,862.09