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 $489.78 / $933.25 / $13,489.63	Professional		$489.78	$933.25	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $870.96	Facility		$707.95	$758.58	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $64.57	Professional		$44.67	$50.12	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,621.81	Facility		$812.83	$1,096.48	$1,621.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,513.56	Facility		$1,202.26	$1,202.26	$1,513.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $2,454.71	Professional		$1,202.26	$1,698.24	$2,454.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,041.74	Professional		$1,047.13	$1,412.54	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $645.65 / $6,165.95	Facility		$158.49	$645.65	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $891.25 / $2,290.87	Professional		$478.63	$891.25	$2,290.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33