Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,737.80 / $20,892.96	Facility		$977.24	$1,737.80	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $1,318.26	Professional		$457.09	$602.56	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $870.96	Facility		$758.58	$758.58	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $851.14 / $1,584.89	Professional		$489.78	$851.14	$1,584.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $741.31 / $1,288.25	Facility		$478.63	$741.31	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $1,288.25	Professional		$478.63	$776.25	$1,288.25
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 $724.44 / $977.24 / $1,047.13	Facility		$724.44	$977.24	$1,047.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $724.44	Facility		$707.95	$707.95	$724.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,122.02 / $1,513.56	Professional		$724.44	$1,122.02	$1,513.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,348.96	Professional		$724.44	$1,000.00	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,318.26 / $5,754.40	Facility		$707.95	$1,318.26	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $758.58 / $1,412.54	Professional		$512.86	$758.58	$1,412.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $588.84 / $977.24	Professional		$512.86	$588.84	$977.24