Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,122.02 / $3,467.37	Facility		$812.83	$1,122.02	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $1,148.15	Professional		$354.81	$478.63	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,380.38 / $1,584.89	Facility		$616.60	$1,380.38	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $691.83 / $851.14	Professional		$309.03	$691.83	$851.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $741.31 / $2,041.74	Facility		$602.56	$741.31	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $1,659.59	Professional		$602.56	$741.31	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $75.86	Professional		$64.57	$75.86	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $1,122.02	Facility		$602.56	$602.56	$1,122.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,047.13 / $1,778.28	Facility		$602.56	$1,047.13	$1,778.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $724.44	Professional		$537.03	$537.03	$724.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $891.25 / $1,659.59	Facility		$630.96	$891.25	$1,659.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $537.03 / $660.69	Professional		$512.86	$537.03	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $724.44 / $724.44	Facility		$602.56	$724.44	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $676.08	Professional		$251.19	$251.19	$676.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $1,071.52	Professional		$269.15	$269.15	$1,071.52