Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,818.38 / $19,952.62	Facility		$1,096.48	$2,818.38	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $1,698.24	Professional		$524.81	$741.31	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $478.63	Facility		$380.19	$380.19	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $933.25 / $1,819.70	Professional		$602.56	$933.25	$1,819.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $776.25 / $1,479.11	Facility		$208.93	$776.25	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $812.83 / $1,513.56	Professional		$208.93	$812.83	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $389.05	Professional		$32.36	$33.11	$389.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,202.26	Facility		$831.76	$1,148.15	$1,202.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $794.33 / $812.83	Facility		$263.03	$794.33	$812.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,288.25 / $1,659.59	Professional		$776.25	$1,288.25	$1,659.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $851.14 / $1,584.89	Facility		$630.96	$851.14	$1,584.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $1,778.28	Professional		$812.83	$1,174.90	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,096.48 / $2,511.89	Facility		$154.88	$1,096.48	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,621.81	Professional		$630.96	$870.96	$1,621.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $707.95 / $1,174.90	Professional		$79.43	$707.95	$1,174.90