Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,754.23 / $20,892.96	Facility		$1,862.09	$2,754.23	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $2,630.27	Professional		$851.14	$1,122.02	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,862.09 / $2,951.21	Professional		$1,174.90	$1,862.09	$2,951.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $2,511.89	Facility		$1,202.26	$2,041.74	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,041.74 / $2,570.40	Professional		$1,230.27	$2,041.74	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $63.10	Professional		$32.36	$33.11	$63.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $2,041.74	Facility		$1,479.11	$1,905.46	$2,041.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,380.38	Facility		$1,318.26	$1,318.26	$1,380.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,290.87 / $2,951.21	Professional		$1,380.38	$2,290.87	$2,951.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $2,570.40	Professional		$1,348.96	$1,949.84	$2,570.40
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 $1,000.00 / $1,548.82 / $2,818.38	Professional		$1,000.00	$1,548.82	$2,818.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $1,862.09	Professional		$977.24	$1,318.26	$1,862.09