Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $524.81 / $1,737.80	Facility		$269.15	$524.81	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $562.34	Professional		$316.23	$316.23	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,071.52 / $1,778.28	Facility		$549.54	$1,071.52	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,096.48 / $2,137.96	Facility		$380.19	$1,096.48	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
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 $281.84 / $933.25 / $933.25	Facility		$281.84	$933.25	$933.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,122.02 / $2,089.30	Facility		$831.76	$1,122.02	$2,089.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $426.58	Professional		$190.55	$190.55	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,398.83	Facility		$977.24	$1,318.26	$2,398.83