Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $6,025.60 / $18,620.87	Facility		$1,122.02	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $1,584.89	Professional		$457.09	$616.60	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,096.48 / $1,778.28	Professional		$602.56	$1,096.48	$1,778.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,148.15 / $1,445.44	Facility		$616.60	$1,148.15	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,148.15 / $1,479.11	Professional		$645.65	$1,148.15	$1,479.11
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 $831.76 / $1,071.52 / $1,202.26	Facility		$831.76	$1,071.52	$1,202.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $812.83	Facility		$794.33	$794.33	$812.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,348.96 / $1,737.80	Professional		$812.83	$1,348.96	$1,737.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $1,548.82	Professional		$794.33	$1,148.15	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,454.71 / $37,153.52	Facility		$707.95	$2,454.71	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $870.96 / $1,659.59	Professional		$524.81	$870.96	$1,659.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $1,000.00	Professional		$524.81	$707.95	$1,000.00