Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,737.80 / $20,892.96	Facility		$741.31	$1,737.80	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $1,258.93	Professional		$380.19	$512.86	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $794.33 / $1,202.26	Professional		$512.86	$794.33	$1,202.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $1,122.02	Facility		$501.19	$870.96	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $870.96 / $1,122.02	Professional		$501.19	$870.96	$1,122.02
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 $660.69 / $776.25 / $870.96	Facility		$660.69	$776.25	$870.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $562.34	Facility		$549.54	$549.54	$562.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $912.01 / $1,174.90	Professional		$562.34	$912.01	$1,174.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,071.52	Professional		$562.34	$794.33	$1,071.52
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 $436.52 / $630.96 / $1,122.02	Professional		$436.52	$630.96	$1,122.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $501.19 / $691.83	Professional		$426.58	$501.19	$691.83