Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,677.35 / $21,877.62	Facility		$1,047.13	$4,677.35	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $1,737.80	Professional		$537.03	$707.95	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,122.02 / $1,659.59	Professional		$724.44	$1,122.02	$1,659.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,202.26 / $1,479.11	Facility		$691.83	$1,202.26	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,202.26 / $1,479.11	Professional		$691.83	$1,202.26	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,071.52 / $1,148.15	Facility		$933.25	$1,071.52	$1,148.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $776.25	Facility		$758.58	$758.58	$776.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,288.25 / $1,659.59	Professional		$776.25	$1,288.25	$1,659.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $1,513.56	Professional		$776.25	$1,122.02	$1,513.56
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 $602.56 / $891.25 / $1,584.89	Professional		$602.56	$891.25	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $660.69 / $933.25	Professional		$562.34	$660.69	$933.25