Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $707.95 / $1,122.02	Professional		$165.96	$707.95	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $75.86	Professional		$44.67	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $331.13 / $416.87	Facility		$251.19	$331.13	$416.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $1,258.93	Facility		$281.84	$281.84	$1,258.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $616.60 / $1,548.82	Professional		$281.84	$616.60	$1,548.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $776.25 / $1,819.70	Professional		$309.03	$776.25	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $954.99 / $1,174.90	Facility		$707.95	$954.99	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $1,096.48 / $2,238.72	Professional		$263.03	$1,096.48	$2,238.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03