Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $208.93	Professional		$128.82	$162.18	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $269.15 / $478.63	Professional		$144.54	$269.15	$478.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $309.03 / $436.52	Facility		$194.98	$309.03	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $309.03 / $436.52	Professional		$173.78	$309.03	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $44.67	Professional		$32.36	$33.11	$44.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $316.23 / $323.59	Facility		$223.87	$316.23	$323.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $467.74	Professional		$218.78	$346.74	$467.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $446.68	Professional		$223.87	$338.84	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $436.52	Professional		$144.54	$194.98	$436.52