Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $6,025.60 / $18,620.87	Facility		$1,071.52	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $1,584.89	Professional		$446.68	$602.56	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,071.52 / $1,737.80	Professional		$616.60	$1,071.52	$1,737.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,148.15 / $1,412.54	Facility		$630.96	$1,148.15	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,148.15 / $1,445.44	Professional		$645.65	$1,148.15	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $63.10	Professional		$32.36	$33.11	$63.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,174.90	Facility		$851.14	$1,047.13	$1,174.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $794.33	Facility		$776.25	$776.25	$794.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,318.26 / $1,698.24	Professional		$794.33	$1,318.26	$1,698.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,513.56	Professional		$794.33	$1,122.02	$1,513.56
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 / $891.25 / $1,659.59	Professional		$524.81	$891.25	$1,659.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $691.83 / $977.24	Professional		$512.86	$691.83	$977.24