Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,235.94 / $7,244.36	Facility		$676.08	$3,235.94	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $707.95	Professional		$436.52	$575.44	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,621.81 / $1,862.09	Facility		$758.58	$1,621.81	$1,862.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $724.44 / $3,388.44	Facility		$645.65	$724.44	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $1,230.27	Professional		$575.44	$724.44	$1,230.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $1,023.29	Facility		$724.44	$724.44	$1,023.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,258.93 / $2,187.76	Facility		$724.44	$1,258.93	$2,187.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $870.96	Professional		$645.65	$645.65	$870.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,096.48 / $1,995.26	Facility		$758.58	$1,096.48	$1,995.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $645.65 / $812.83	Professional		$616.60	$645.65	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $870.96 / $870.96	Facility		$724.44	$870.96	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $812.83	Professional		$302.00	$302.00	$812.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $724.44 / $1,318.26	Professional		$323.59	$724.44	$1,318.26