Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,548.13 / $7,943.28	Facility		$741.31	$3,548.13	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $933.25	Professional		$467.74	$630.96	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,737.80 / $2,041.74	Facility		$812.83	$1,737.80	$2,041.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $794.33 / $3,630.78	Facility		$707.95	$794.33	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $1,348.96	Professional		$630.96	$794.33	$1,348.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $1,096.48	Facility		$794.33	$794.33	$1,096.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,380.38 / $2,344.23	Facility		$794.33	$1,380.38	$2,344.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $954.99	Professional		$707.95	$707.95	$954.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,174.90 / $2,187.76	Facility		$831.76	$1,174.90	$2,187.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $707.95 / $891.25	Professional		$676.08	$707.95	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $954.99 / $954.99	Facility		$794.33	$954.99	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $891.25	Professional		$331.13	$331.13	$891.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $794.33 / $1,412.54	Professional		$354.81	$794.33	$1,412.54