Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,862.09 / $20,892.96	Facility		$1,174.90	$1,862.09	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,905.46	Professional		$630.96	$812.83	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,258.93 / $1,905.46	Professional		$812.83	$1,258.93	$1,905.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,380.38 / $1,778.28	Facility		$794.33	$1,380.38	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,380.38 / $1,778.28	Professional		$794.33	$1,380.38	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,288.25	Facility		$1,047.13	$1,230.27	$1,288.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,445.44 / $1,862.09	Professional		$870.96	$1,445.44	$1,862.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,698.24	Professional		$891.25	$1,258.93	$1,698.24
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 $676.08 / $954.99 / $1,778.28	Professional		$676.08	$954.99	$1,778.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,202.26	Professional		$724.44	$851.14	$1,202.26