Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,630.27 / $5,888.44	Facility		$549.54	$2,630.27	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $707.95	Professional		$346.74	$467.74	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,288.25 / $1,513.56	Facility		$602.56	$1,288.25	$1,513.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $588.84 / $2,691.53	Facility		$524.81	$588.84	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $1,000.00	Professional		$467.74	$588.84	$1,000.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $812.83	Facility		$588.84	$588.84	$812.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,023.29 / $1,737.80	Facility		$588.84	$1,023.29	$1,737.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $707.95	Professional		$524.81	$524.81	$707.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $870.96 / $1,621.81	Facility		$616.60	$870.96	$1,621.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $524.81 / $660.69	Professional		$501.19	$524.81	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $707.95 / $707.95	Facility		$588.84	$707.95	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $707.95	Professional		$245.47	$245.47	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $588.84 / $1,047.13	Professional		$263.03	$588.84	$1,047.13