Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,466.84 / $18,620.87	Facility		$1,258.93	$4,466.84	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $1,698.24	Professional		$602.56	$741.31	$1,698.24
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 $645.65 / $1,096.48 / $2,089.30	Professional		$645.65	$1,096.48	$2,089.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $954.99 / $1,659.59	Facility		$707.95	$954.99	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,659.59	Professional		$707.95	$1,000.00	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $43.65	Professional		$32.36	$33.11	$43.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $1,380.38	Facility		$1,000.00	$1,318.26	$1,380.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,445.44 / $1,949.84	Professional		$933.25	$1,445.44	$1,949.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $1,737.80	Professional		$954.99	$1,318.26	$1,737.80
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 $660.69 / $1,000.00 / $1,819.70	Professional		$660.69	$1,000.00	$1,819.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $676.08 / $1,122.02	Professional		$588.84	$676.08	$1,122.02