Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,737.80 / $20,892.96	Facility		$870.96	$1,737.80	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $1,513.56	Professional		$457.09	$588.84	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $933.25 / $1,380.38	Professional		$575.44	$933.25	$1,380.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,000.00 / $1,288.25	Facility		$575.44	$1,000.00	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,000.00 / $1,288.25	Professional		$575.44	$1,000.00	$1,288.25
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 $776.25 / $891.25 / $977.24	Facility		$776.25	$891.25	$977.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $645.65	Facility		$630.96	$630.96	$645.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,047.13 / $1,380.38	Professional		$645.65	$1,047.13	$1,380.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $1,258.93	Professional		$645.65	$933.25	$1,258.93
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 $489.78 / $724.44 / $1,288.25	Professional		$489.78	$724.44	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $575.44 / $812.83	Professional		$501.19	$575.44	$812.83