Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,288.25 / $20,892.96	Facility		$794.33	$1,288.25	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $1,412.54	Professional		$346.74	$467.74	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $794.33 / $1,258.93	Professional		$489.78	$794.33	$1,258.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $851.14 / $1,071.52	Facility		$501.19	$851.14	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $870.96 / $1,096.48	Professional		$524.81	$870.96	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $812.83 / $870.96	Facility		$630.96	$812.83	$870.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $588.84	Facility		$575.44	$575.44	$588.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $977.24 / $1,258.93	Professional		$588.84	$977.24	$1,258.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $1,122.02	Professional		$588.84	$831.76	$1,122.02
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 $407.38 / $660.69 / $1,230.27	Professional		$407.38	$660.69	$1,230.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $724.44	Professional		$380.19	$512.86	$724.44