Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,737.80 / $20,892.96	Facility		$870.96	$1,737.80	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $2,089.30	Professional		$426.58	$616.60	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $954.99 / $1,380.38	Professional		$602.56	$954.99	$1,380.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,000.00 / $1,288.25	Facility		$588.84	$1,000.00	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,000.00 / $1,288.25	Professional		$588.84	$1,000.00	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $524.81	Professional		$199.53	$288.40	$524.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $891.25 / $1,122.02	Facility		$776.25	$891.25	$1,122.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $645.65	Facility		$630.96	$630.96	$645.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,047.13 / $1,348.96	Professional		$645.65	$1,047.13	$1,348.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $691.83 / $1,318.26	Facility		$588.84	$691.83	$1,318.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $1,230.27	Professional		$645.65	$933.25	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,311.31 / $37,153.52	Facility		$1,122.02	$3,311.31	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $794.33 / $1,318.26	Professional		$467.74	$794.33	$1,318.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $616.60 / $870.96	Professional		$524.81	$616.60	$870.96