Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,737.80 / $20,892.96	Facility		$724.44	$1,737.80	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $1,258.93	Professional		$398.11	$489.78	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $776.25 / $1,174.90	Professional		$501.19	$776.25	$1,174.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $851.14 / $1,096.48	Facility		$501.19	$851.14	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $851.14 / $1,096.48	Professional		$501.19	$851.14	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $758.58 / $812.83	Facility		$660.69	$758.58	$812.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $549.54	Facility		$537.03	$537.03	$549.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $891.25 / $1,174.90	Professional		$549.54	$891.25	$1,174.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,047.13	Professional		$549.54	$776.25	$1,047.13
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 / $630.96 / $1,096.48	Professional		$426.58	$630.96	$1,096.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $676.08	Professional		$407.38	$478.63	$676.08