Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $7,943.28 / $20,892.96	Facility		$1,513.56	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $2,187.76	Professional		$691.83	$912.01	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,513.56 / $2,398.83	Professional		$912.01	$1,513.56	$2,398.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,621.81 / $2,041.74	Facility		$977.24	$1,621.81	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $2,041.74	Professional		$1,023.29	$1,621.81	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $1,621.81	Facility		$1,174.90	$1,548.82	$1,621.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,096.48	Facility		$1,071.52	$1,071.52	$1,096.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $2,344.23	Professional		$1,096.48	$1,819.70	$2,344.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $2,089.30	Professional		$1,096.48	$1,548.82	$2,089.30
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 $776.25 / $1,258.93 / $2,290.87	Professional		$776.25	$1,258.93	$2,290.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,348.96	Professional		$707.95	$954.99	$1,348.96