Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $6,456.54 / $20,892.96	Facility		$1,000.00	$6,456.54	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $177.83 / $478.63	Professional		$102.33	$177.83	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $218.78	Professional		$181.97	$181.97	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $64.57	Professional		$33.11	$50.12	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $95.50 / $141.25	Facility		$64.57	$95.50	$141.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $234.42	Facility		$229.09	$229.09	$234.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $346.74 / $489.78	Professional		$234.42	$346.74	$489.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $436.52	Professional		$234.42	$316.23	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $549.54 / $5,754.40	Facility		$158.49	$549.54	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $263.03 / $467.74	Professional		$162.18	$263.03	$467.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $218.78	Professional		$109.65	$154.88	$218.78