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 $79.43 / $707.95 / $1,122.02	Professional		$79.43	$707.95	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
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 $70.79 / $85.11 / $213.80	Facility		$70.79	$85.11	$213.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $1,258.93	Facility		$173.78	$173.78	$1,258.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $575.44 / $1,548.82	Professional		$107.15	$575.44	$1,548.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $776.25 / $1,819.70	Professional		$83.18	$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 $141.25 / $1,096.48 / $2,238.72	Professional		$141.25	$1,096.48	$2,238.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05