Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,000.00 / $17,782.79	Facility		$562.34	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $363.08 / $1,000.00	Professional		$263.03	$363.08	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $389.05	Facility		$234.42	$234.42	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $676.08 / $1,047.13	Professional		$457.09	$676.08	$1,047.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $676.08 / $1,000.00	Facility		$302.00	$676.08	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $676.08 / $933.25	Professional		$371.54	$676.08	$933.25
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 $562.34 / $724.44 / $776.25	Facility		$562.34	$724.44	$776.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $524.81	Facility		$512.86	$512.86	$524.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $741.31 / $1,023.29	Professional		$436.52	$741.31	$1,023.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $912.01 / $1,737.80	Facility		$660.69	$912.01	$1,737.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $645.65 / $912.01	Professional		$416.87	$645.65	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,148.15 / $2,398.83	Facility		$645.65	$1,148.15	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $1,023.29	Professional		$380.19	$562.34	$1,023.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $389.05 / $549.54	Professional		$269.15	$389.05	$549.54