Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,818.38 / $20,892.96	Facility		$2,041.74	$2,818.38	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,951.21	Professional		$1,000.00	$1,318.26	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $3,235.94	Professional		$1,202.26	$2,041.74	$3,235.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,187.76 / $2,754.23	Facility		$1,258.93	$2,187.76	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,187.76 / $2,754.23	Professional		$1,318.26	$2,187.76	$2,754.23
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 $1,584.89 / $2,041.74 / $2,187.76	Facility		$1,584.89	$2,041.74	$2,187.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,479.11	Facility		$1,445.44	$1,445.44	$1,479.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $3,162.28	Professional		$1,479.11	$2,454.71	$3,162.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $2,754.23	Professional		$1,479.11	$2,089.30	$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 $1,023.29 / $1,659.59 / $3,090.30	Professional		$1,023.29	$1,659.59	$3,090.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,778.28	Professional		$933.25	$1,288.25	$1,778.28