Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,801.89 / $8,511.38	Facility		$794.33	$3,801.89	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $1,023.29	Professional		$512.86	$676.08	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,862.09 / $2,187.76	Facility		$870.96	$1,862.09	$2,187.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $851.14 / $3,890.45	Facility		$758.58	$851.14	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,445.44	Professional		$676.08	$851.14	$1,445.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,174.90	Facility		$851.14	$851.14	$1,174.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,479.11 / $2,511.89	Facility		$851.14	$1,479.11	$2,511.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,023.29	Professional		$758.58	$758.58	$1,023.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,258.93 / $2,344.23	Facility		$891.25	$1,258.93	$2,344.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $758.58 / $954.99	Professional		$724.44	$758.58	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,023.29	Facility		$851.14	$1,023.29	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $954.99	Professional		$354.81	$354.81	$954.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $851.14 / $1,513.56	Professional		$380.19	$851.14	$1,513.56