Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $20,892.96	Facility		$1,905.46	$2,754.23	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $2,630.27	Professional		$891.25	$1,148.15	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,905.46 / $3,019.95	Professional		$1,202.26	$1,905.46	$3,019.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,089.30 / $2,570.40	Facility		$1,230.27	$2,089.30	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $2,630.27	Professional		$1,258.93	$2,089.30	$2,630.27
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 $1,445.44 / $1,949.84 / $2,089.30	Facility		$1,445.44	$1,949.84	$2,089.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,412.54	Facility		$1,348.96	$1,348.96	$1,412.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,344.23 / $3,019.95	Professional		$1,412.54	$2,344.23	$3,019.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $2,630.27	Professional		$1,380.38	$1,995.26	$2,630.27
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 / $1,584.89 / $2,884.03	Professional		$1,023.29	$1,584.89	$2,884.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $1,905.46	Professional		$1,000.00	$1,348.96	$1,905.46