Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,412.54 / $17,782.79	Facility		$954.99	$1,412.54	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $1,318.26	Professional		$457.09	$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 $489.78 / $851.14 / $1,621.81	Professional		$489.78	$851.14	$1,621.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $707.95 / $1,258.93	Facility		$323.59	$707.95	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $724.44 / $1,288.25	Professional		$354.81	$724.44	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $331.13	Professional		$32.36	$33.11	$331.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,096.48	Facility		$741.31	$1,000.00	$1,096.48
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 $707.95 / $1,096.48 / $1,479.11	Professional		$707.95	$1,096.48	$1,479.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $660.69 / $1,288.25	Facility		$436.52	$660.69	$1,288.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $1,318.26	Professional		$691.83	$977.24	$1,318.26
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 $562.34 / $758.58 / $1,412.54	Professional		$562.34	$758.58	$1,412.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $933.25	Professional		$489.78	$660.69	$933.25