Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,737.80 / $20,892.96	Facility		$794.33	$1,737.80	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $1,348.96	Professional		$426.58	$537.03	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $1,258.93	Professional		$549.54	$851.14	$1,258.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $912.01 / $1,202.26	Facility		$537.03	$912.01	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $912.01 / $1,202.26	Professional		$537.03	$912.01	$1,202.26
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 $707.95 / $812.83 / $870.96	Facility		$707.95	$812.83	$870.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $977.24 / $1,258.93	Professional		$588.84	$977.24	$1,258.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $1,148.15	Professional		$602.56	$851.14	$1,148.15
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 $467.74 / $676.08 / $1,202.26	Professional		$467.74	$676.08	$1,202.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $524.81 / $741.31	Professional		$446.68	$524.81	$741.31