Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $10,232.93 / $28,183.83	Facility		$407.38	$10,232.93	$28,183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $562.34	Professional		$263.03	$389.05	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $1,047.13	Professional		$537.03	$794.33	$1,047.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $426.58 / $794.33	Facility		$323.59	$426.58	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $741.31	Professional		$323.59	$426.58	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $64.57 / $229.09	Professional		$22.91	$64.57	$229.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $190.55 / $537.03	Facility		$151.36	$190.55	$537.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $645.65 / $870.96	Professional		$457.09	$645.65	$870.96
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 $288.40 / $398.11 / $758.58	Professional		$288.40	$398.11	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $389.05	Professional		$239.88	$281.84	$389.05