Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $10,232.93 / $28,183.83	Facility		$1,949.84	$10,232.93	$28,183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,318.26 / $2,089.30	Professional		$549.54	$1,318.26	$2,089.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $8,511.38 / $13,182.57	Facility		$2,691.53	$8,511.38	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $64.57	Professional		$44.67	$50.12	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $933.25 / $1,479.11	Facility		$562.34	$933.25	$1,479.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $2,511.89	Facility		$776.25	$776.25	$2,511.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,412.54 / $1,905.46	Professional		$776.25	$1,412.54	$1,905.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $9,120.11 / $16,982.44	Facility		$6,760.83	$9,120.11	$16,982.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,318.26 / $3,801.89	Professional		$912.01	$1,318.26	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $11,220.18 / $19,498.45	Facility		$1,995.26	$11,220.18	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $2,511.89 / $4,265.80	Professional		$741.31	$2,511.89	$4,265.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80