Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,737.80 / $3,801.89	Facility		$181.97	$1,737.80	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $363.08	Professional		$114.82	$181.97	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $851.14 / $1,000.00	Facility		$398.11	$851.14	$1,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $380.19 / $1,778.28	Facility		$346.74	$380.19	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $645.65	Professional		$309.03	$380.19	$645.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $537.03	Facility		$380.19	$380.19	$537.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $676.08 / $1,148.15	Facility		$380.19	$676.08	$1,148.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $457.09	Professional		$346.74	$346.74	$457.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $575.44 / $1,047.13	Facility		$407.38	$575.44	$1,047.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $346.74 / $426.58	Professional		$323.59	$346.74	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $457.09 / $457.09	Facility		$380.19	$457.09	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $389.05	Professional		$81.28	$114.82	$389.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $380.19 / $691.83	Professional		$173.78	$380.19	$691.83