Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,398.83 / $5,248.07	Facility		$501.19	$2,398.83	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $630.96	Professional		$316.23	$426.58	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,174.90 / $1,348.96	Facility		$549.54	$1,174.90	$1,348.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $524.81 / $2,454.71	Facility		$478.63	$524.81	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $524.81 / $891.25	Professional		$426.58	$524.81	$891.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $741.31	Facility		$524.81	$524.81	$741.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $933.25 / $1,584.89	Facility		$524.81	$933.25	$1,584.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $630.96	Professional		$478.63	$478.63	$630.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $794.33 / $1,445.44	Facility		$549.54	$794.33	$1,445.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $478.63 / $588.84	Professional		$446.68	$478.63	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $630.96 / $630.96	Facility		$524.81	$630.96	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $588.84	Professional		$223.87	$223.87	$588.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $524.81 / $954.99	Professional		$239.88	$524.81	$954.99