Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $776.25 / $776.25	Facility		$323.59	$776.25	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $316.23 / $363.08	Professional		$309.03	$316.23	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $660.69	Facility		$323.59	$323.59	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $977.24 / $1,548.82	Facility		$323.59	$977.24	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $75.86	Professional		$30.20	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $467.74 / $478.63	Facility		$416.87	$467.74	$478.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $1,148.15	Facility		$363.08	$363.08	$1,148.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $407.38 / $977.24	Facility		$338.84	$407.38	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59