Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $7,943.28 / $24,547.09	Facility		$1,737.80	$7,943.28	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $2,290.87	Professional		$794.33	$1,000.00	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $2,754.23	Professional		$1,047.13	$1,737.80	$2,754.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $2,344.23	Facility		$1,096.48	$1,862.09	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,862.09 / $2,344.23	Professional		$1,148.15	$1,862.09	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $57.54	Professional		$32.36	$33.11	$57.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $1,862.09	Facility		$1,318.26	$1,778.28	$1,862.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,258.93	Facility		$1,230.27	$1,230.27	$1,258.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $2,691.53	Professional		$1,258.93	$2,089.30	$2,691.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $2,398.83	Professional		$1,258.93	$1,778.28	$2,398.83
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 $891.25 / $1,445.44 / $2,630.27	Professional		$891.25	$1,445.44	$2,630.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,513.56	Professional		$812.83	$1,096.48	$1,513.56