Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,148.15 / $3,019.95	Facility		$707.95	$1,148.15	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $446.68 / $1,000.00	Professional		$346.74	$446.68	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,148.15 / $1,348.96	Facility		$537.03	$1,148.15	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $549.54 / $758.58	Professional		$257.04	$549.54	$758.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $645.65 / $2,290.87	Facility		$512.86	$645.65	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $1,445.44	Professional		$512.86	$645.65	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $549.54 / $776.25	Facility		$512.86	$549.54	$776.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $912.01 / $1,548.82	Facility		$512.86	$912.01	$1,548.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $616.60	Professional		$467.74	$467.74	$616.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $776.25 / $1,412.54	Facility		$549.54	$776.25	$1,412.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $467.74 / $575.44	Professional		$436.52	$467.74	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $616.60 / $616.60	Facility		$512.86	$616.60	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $575.44	Professional		$218.78	$218.78	$575.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $512.86 / $933.25	Professional		$234.42	$512.86	$933.25