Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $371.54 / $478.63 / $616.60	Facility	26	$371.54	$478.63	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $2,398.83	Professional		$977.24	$1,202.26	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,905.46 / $3,235.94	Professional		$1,202.26	$1,905.46	$3,235.94
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $426.58 / $630.96 / $13,803.84	Facility	26	$426.58	$630.96	$13,803.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,238.72 / $3,311.31	Professional		$1,479.11	$2,238.72	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $446.68 / $524.81 / $549.54	Facility	26	$446.68	$524.81	$549.54
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $371.54 / $371.54 / $371.54	Facility	26	$371.54	$371.54	$371.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,238.72 / $2,818.38	Professional		$1,348.96	$2,238.72	$2,818.38
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Facility	26	$5,623.41	$5,623.41	$5,623.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $2,630.27	Professional		$1,445.44	$1,905.46	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $2,754.23	Professional		$1,071.52	$1,548.82	$2,754.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,905.46	Professional		$1,174.90	$1,380.38	$1,905.46