Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,388.44 / $20,892.96	Facility		$2,398.83	$3,388.44	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $3,630.78	Professional		$1,202.26	$1,548.82	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,570.40 / $4,073.80	Professional		$1,621.81	$2,570.40	$4,073.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,818.38 / $3,467.37	Facility		$1,659.59	$2,818.38	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,818.38 / $3,467.37	Professional		$1,698.24	$2,818.38	$3,467.37
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 $1,995.26 / $2,630.27 / $2,754.23	Facility		$1,995.26	$2,630.27	$2,754.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,905.46	Facility		$1,819.70	$1,819.70	$1,905.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,162.28 / $4,073.80	Professional		$1,905.46	$3,162.28	$4,073.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $3,548.13	Professional		$1,862.09	$2,691.53	$3,548.13
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 $1,348.96 / $2,137.96 / $3,890.45	Professional		$1,348.96	$2,137.96	$3,890.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,511.89	Professional		$1,318.26	$1,778.28	$2,511.89