Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $7,943.28 / $20,892.96	Facility		$524.81	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $851.14	Professional		$263.03	$346.74	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $831.76	Professional		$346.74	$562.34	$831.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $602.56 / $724.44	Facility		$338.84	$602.56	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $602.56 / $741.31	Professional		$338.84	$602.56	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $537.03 / $562.34	Facility		$467.74	$537.03	$562.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $630.96 / $831.76	Professional		$389.05	$630.96	$831.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $758.58	Professional		$398.11	$562.34	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,311.31 / $37,153.52	Facility		$1,122.02	$3,311.31	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $426.58 / $758.58	Professional		$295.12	$426.58	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $467.74	Professional		$281.84	$331.13	$467.74