Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $831.76	Facility		$371.54	$371.54	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $331.13 / $426.58	Professional		$204.17	$331.13	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $758.58 / $1,148.15	Facility		$501.19	$758.58	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $741.31 / $1,148.15	Professional		$416.87	$741.31	$1,148.15
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 Low / Median / High Price $724.44 / $870.96 / $870.96	Facility		$724.44	$870.96	$870.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $1,258.93	Professional		$602.56	$891.25	$1,258.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $933.25	Professional		$912.01	$912.01	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $478.63	Professional		$190.55	$281.84	$478.63