Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $5,754.40 / $17,782.79	Facility		$851.14	$5,754.40	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $4,570.88 / $8,317.64	Professional		$741.31	$4,570.88	$8,317.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $954.99	Facility		$501.19	$707.95	$954.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $562.34 / $977.24	Facility		$213.80	$562.34	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $64.57	Professional		$44.67	$50.12	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $588.84 / $588.84	Facility		$120.23	$588.84	$588.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $165.96 / $239.88	Facility		$112.20	$165.96	$239.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $691.83 / $1,318.26	Facility		$446.68	$691.83	$1,318.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,659.59	Professional		$812.83	$1,096.48	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $831.76 / $1,905.46	Facility		$269.15	$831.76	$1,905.46