Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $295.12	Professional		$169.82	$218.78	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $316.23 / $512.86	Facility		$302.00	$316.23	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $316.23 / $549.54	Facility		$112.20	$316.23	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $70.79	Professional		$30.20	$50.12	$70.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $123.03 / $398.11	Facility		$75.86	$123.03	$398.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $275.42	Facility		$269.15	$269.15	$275.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $588.84	Professional		$275.42	$426.58	$588.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $316.23 / $602.56	Facility		$239.88	$316.23	$602.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $524.81	Professional		$275.42	$389.05	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $389.05 / $707.95	Facility		$104.71	$389.05	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $281.84	Professional		$93.33	$117.49	$281.84