Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $13,182.57 / $21,877.62	Facility		$1,949.84	$13,182.57	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $269.15 / $724.44	Professional		$234.42	$269.15	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
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 $363.08 / $501.19 / $524.81	Facility		$363.08	$501.19	$524.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $588.84 / $758.58	Professional		$354.81	$588.84	$758.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $389.05 / $741.31	Facility		$323.59	$389.05	$741.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $660.69	Professional		$363.08	$512.86	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,047.13 / $5,754.40	Facility		$501.19	$1,047.13	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $741.31	Professional		$295.12	$416.87	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42