Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $707.95 / $2,238.72	Facility		$257.04	$707.95	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $602.56	Professional		$190.55	$309.03	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $851.14 / $1,122.02	Facility		$398.11	$851.14	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $446.68 / $588.84	Professional		$194.98	$446.68	$588.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $467.74 / $1,174.90	Facility		$380.19	$467.74	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $1,047.13	Professional		$380.19	$478.63	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $338.84 / $407.38	Professional		$75.86	$338.84	$407.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $724.44	Facility		$380.19	$380.19	$724.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $660.69 / $1,148.15	Facility		$380.19	$660.69	$1,148.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $457.09	Professional		$346.74	$346.74	$457.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $575.44 / $1,047.13	Facility		$398.11	$575.44	$1,047.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $346.74 / $426.58	Professional		$323.59	$346.74	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $457.09 / $457.09	Facility		$380.19	$457.09	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $158.49 / $426.58	Professional		$63.10	$158.49	$426.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $380.19 / $691.83	Professional		$169.82	$380.19	$691.83