Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,466.84 / $18,620.87	Facility		$1,380.38	$4,466.84	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $1,905.46	Professional		$660.69	$851.14	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $870.96	Facility		$707.95	$758.58	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,202.26 / $2,238.72	Professional		$707.95	$1,202.26	$2,238.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,778.28	Facility		$724.44	$1,000.00	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $1,819.70	Professional		$758.58	$1,096.48	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $46.77	Professional		$32.36	$33.11	$46.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $1,513.56	Facility		$1,047.13	$1,445.44	$1,513.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,023.29	Facility		$1,000.00	$1,000.00	$1,023.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,137.96	Professional		$1,023.29	$1,584.89	$2,137.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $1,905.46	Professional		$1,023.29	$1,412.54	$1,905.46
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 $724.44 / $1,096.48 / $1,949.84	Professional		$724.44	$1,096.48	$1,949.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $741.31 / $1,202.26	Professional		$645.65	$741.31	$1,202.26