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 $295.12 / $741.31 / $1,096.48	Professional		$295.12	$741.31	$1,096.48
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 $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
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 $758.58 / $1,047.13 / $1,548.82	Facility		$758.58	$1,047.13	$1,548.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,548.82	Facility		$1,122.02	$1,122.02	$1,548.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $2,238.72	Professional		$1,122.02	$1,548.82	$2,238.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $1,995.26	Professional		$1,047.13	$1,348.96	$1,995.26
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 $489.78 / $691.83 / $2,041.74	Professional		$489.78	$691.83	$2,041.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95