Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,445.44 / $3,235.94	Facility		$302.00	$1,445.44	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $457.09	Professional		$213.80	$263.03	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $691.83 / $831.76	Facility		$338.84	$691.83	$831.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $323.59 / $512.86	Facility		$257.04	$323.59	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $549.54	Professional		$257.04	$323.59	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $354.81 / $562.34	Facility		$288.40	$354.81	$562.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $562.34 / $977.24	Facility		$323.59	$562.34	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $389.05	Professional		$288.40	$288.40	$389.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $489.78 / $891.25	Facility		$338.84	$489.78	$891.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $288.40 / $363.08	Professional		$275.42	$288.40	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $389.05 / $389.05	Facility		$323.59	$389.05	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $363.08	Professional		$134.90	$151.36	$363.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $323.59 / $575.44	Professional		$144.54	$323.59	$575.44