Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,584.89 / $17,782.79	Facility		$933.25	$1,584.89	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $562.34 / $1,318.26	Professional		$446.68	$562.34	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $467.74 / $562.34	Facility		$302.00	$467.74	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $831.76 / $1,621.81	Professional		$478.63	$831.76	$1,621.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $691.83 / $1,258.93	Facility		$323.59	$691.83	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $707.95 / $1,288.25	Professional		$354.81	$707.95	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $316.23	Professional		$32.36	$33.11	$316.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,071.52	Facility		$724.44	$1,000.00	$1,071.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $707.95 / $741.31	Facility		$234.42	$707.95	$741.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,412.54	Professional		$691.83	$1,071.52	$1,412.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $691.83 / $1,288.25	Facility		$512.86	$691.83	$1,288.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $1,288.25	Professional		$660.69	$954.99	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $912.01 / $1,949.84	Facility		$416.87	$912.01	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,380.38	Professional		$549.54	$741.31	$1,380.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $891.25	Professional		$467.74	$630.96	$891.25