Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,019.95 / $20,892.96	Facility		$1,995.26	$3,019.95	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $3,162.28	Professional		$1,023.29	$1,318.26	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,995.26 / $3,162.28	Professional		$1,288.25	$1,995.26	$3,162.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,187.76 / $2,754.23	Facility		$1,348.96	$2,187.76	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,238.72 / $2,818.38	Professional		$1,445.44	$2,238.72	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $67.61	Professional		$32.36	$33.11	$67.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $2,290.87	Facility		$1,778.28	$2,089.30	$2,290.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,445.44	Facility		$1,412.54	$1,412.54	$1,445.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,398.83 / $3,090.30	Professional		$1,445.44	$2,398.83	$3,090.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $2,754.23	Professional		$1,445.44	$2,041.74	$2,754.23
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 $1,071.52 / $1,737.80 / $3,019.95	Professional		$1,071.52	$1,737.80	$3,019.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,819.70	Professional		$954.99	$1,288.25	$1,819.70