Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $389.05 / $602.56	Professional		$41.69	$389.05	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $416.87	Professional		$93.33	$112.20	$416.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $275.42 / $537.03	Facility		$114.82	$275.42	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $44.67 / $50.12	Professional		$32.36	$44.67	$50.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $588.84	Facility		$112.20	$141.25	$588.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $831.76 / $1,513.56	Professional		$213.80	$831.76	$1,513.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $660.69 / $954.99	Professional		$158.49	$660.69	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $75.86 / $851.14	Professional		$53.70	$75.86	$851.14