Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $20,892.96	Facility		$1,148.15	$1,737.80	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,548.82	Professional		$537.03	$660.69	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $954.99	Facility		$501.19	$707.95	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $954.99 / $1,819.70	Professional		$588.84	$954.99	$1,819.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,071.52 / $1,513.56	Facility		$588.84	$1,071.52	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $912.01 / $1,513.56	Professional		$575.44	$912.01	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $275.42	Professional		$32.36	$33.11	$275.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,230.27	Facility		$933.25	$1,096.48	$1,230.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $851.14	Facility		$831.76	$831.76	$851.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $1,819.70	Professional		$851.14	$1,318.26	$1,819.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,548.82	Professional		$891.25	$1,174.90	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,258.93 / $5,754.40	Facility		$707.95	$1,258.93	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $1,548.82	Professional		$588.84	$851.14	$1,548.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $676.08 / $1,122.02	Professional		$588.84	$676.08	$1,122.02