Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $7,244.36 / $21,877.62	Facility		$691.83	$7,244.36	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $1,698.24	Professional		$389.05	$489.78	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $776.25 / $1,122.02	Professional		$501.19	$776.25	$1,122.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $812.83 / $1,096.48	Facility		$489.78	$812.83	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $812.83 / $1,096.48	Professional		$489.78	$812.83	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $776.25 / $1,202.26	Facility		$630.96	$776.25	$1,202.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $870.96 / $1,122.02	Professional		$524.81	$870.96	$1,122.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,023.29	Professional		$524.81	$758.58	$1,023.29
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 $426.58 / $794.33 / $1,096.48	Professional		$426.58	$794.33	$1,096.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $645.65	Professional		$398.11	$467.74	$645.65