Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $562.34	Professional		$251.19	$316.23	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $524.81 / $1,071.52	Facility		$275.42	$524.81	$1,071.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $537.03 / $1,412.54	Facility		$181.97	$537.03	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $64.57 / $75.86	Professional		$30.20	$64.57	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $446.68 / $446.68	Facility		$138.04	$446.68	$446.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $537.03 / $1,023.29	Facility		$398.11	$537.03	$1,023.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $208.93	Professional		$93.33	$93.33	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $660.69 / $1,202.26	Facility		$489.78	$660.69	$1,202.26