Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,311.31 / $20,892.96	Facility		$2,398.83	$3,311.31	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $3,548.13	Professional		$1,202.26	$1,513.56	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,398.83 / $3,801.89	Professional		$1,548.82	$2,398.83	$3,801.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,630.27 / $3,235.94	Facility		$1,584.89	$2,630.27	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,691.53 / $3,311.31	Professional		$1,584.89	$2,691.53	$3,311.31
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 $2,089.30 / $2,511.89 / $2,570.40	Facility		$2,089.30	$2,511.89	$2,570.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,737.80	Facility		$1,698.24	$1,698.24	$1,737.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,884.03 / $3,715.35	Professional		$1,737.80	$2,884.03	$3,715.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,454.71 / $3,311.31	Professional		$1,737.80	$2,454.71	$3,311.31
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 $1,288.25 / $2,089.30 / $3,630.78	Professional		$1,288.25	$2,089.30	$3,630.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,187.76	Professional		$1,148.15	$1,548.82	$2,187.76