Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,090.30 / $20,892.96	Facility		$2,290.87	$3,090.30	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $3,388.44	Professional		$1,096.48	$1,348.96	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,344.23 / $3,715.35	Professional		$1,445.44	$2,344.23	$3,715.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,511.89 / $3,162.28	Facility		$1,479.11	$2,511.89	$3,162.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $3,162.28	Professional		$1,513.56	$2,570.40	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $2,511.89	Facility		$1,995.26	$2,344.23	$2,511.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,698.24	Facility		$1,659.59	$1,659.59	$1,698.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,818.38 / $3,630.78	Professional		$1,698.24	$2,818.38	$3,630.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $3,235.94	Professional		$1,698.24	$2,398.83	$3,235.94
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 $1,202.26 / $1,949.84 / $3,548.13	Professional		$1,202.26	$1,949.84	$3,548.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,187.76	Professional		$1,174.90	$1,584.89	$2,187.76