Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,456.54 / $20,892.96	Facility		$1,737.80	$6,456.54	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $602.56 / $1,318.26	Professional		$537.03	$602.56	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $2,511.89	Facility		$1,995.26	$2,290.87	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $977.24 / $1,698.24	Professional		$602.56	$977.24	$1,698.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $354.81 / $1,148.15	Facility		$199.53	$354.81	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $380.19 / $1,230.27	Professional		$199.53	$380.19	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $251.19 / $602.56	Professional		$32.36	$251.19	$602.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $173.78 / $194.98	Facility		$154.88	$173.78	$194.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $831.76	Facility		$812.83	$812.83	$831.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $1,737.80	Professional		$831.76	$1,288.25	$1,737.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,548.82	Professional		$831.76	$1,148.15	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,311.31 / $12,022.64	Facility		$2,137.96	$3,311.31	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $436.52 / $794.33	Professional		$309.03	$436.52	$794.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $213.80 / $354.81	Professional		$186.21	$213.80	$354.81