Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,258.93 / $18,620.87	Facility		$162.18	$1,258.93	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $194.98 / $851.14	Professional		$83.18	$194.98	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $251.19 / $1,737.80	Professional		$107.15	$251.19	$1,737.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $186.21 / $676.08	Facility		$81.28	$186.21	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $186.21 / $794.33	Professional		$79.43	$186.21	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,096.48 / $1,380.38	Facility		$302.00	$1,096.48	$1,380.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $977.24	Facility		$933.25	$933.25	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $457.09 / $1,737.80	Professional		$128.82	$457.09	$1,737.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $295.12 / $1,445.44	Professional		$123.03	$295.12	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,454.71 / $37,153.52	Facility		$1,047.13	$2,454.71	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $281.84 / $1,380.38	Professional		$114.82	$281.84	$1,380.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $144.54 / $1,071.52	Professional		$75.86	$144.54	$1,071.52