Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,737.80 / $20,892.96	Facility		$489.78	$1,737.80	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $338.84 / $1,202.26	Professional		$269.15	$338.84	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $776.25	Professional		$338.84	$501.19	$776.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $562.34 / $776.25	Facility		$331.13	$562.34	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $776.25	Professional		$416.87	$562.34	$776.25
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 $436.52 / $501.19 / $537.03	Facility		$436.52	$501.19	$537.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $588.84 / $776.25	Professional		$363.08	$588.84	$776.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $524.81 / $707.95	Professional		$371.54	$524.81	$707.95
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 / $436.52 / $741.31	Professional		$288.40	$436.52	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $467.74	Professional		$281.84	$331.13	$467.74