Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $2,398.83	Professional		$288.40	$363.08	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $489.78	Professional		$316.23	$380.19	$489.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $741.31	Facility		$575.44	$575.44	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $741.31	Professional		$575.44	$575.44	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $501.19 / $616.60	Professional		$75.86	$501.19	$616.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $575.44 / $707.95	Facility		$549.54	$575.44	$707.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $575.44 / $676.08	Professional		$549.54	$575.44	$676.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $524.81 / $758.58	Facility		$45.71	$524.81	$758.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $63.10 / $524.81	Professional		$45.71	$63.10	$524.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $60.26	Professional		$48.98	$60.26	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $194.98 / $407.38	Facility		$3.72	$194.98	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $331.13 / $549.54	Professional		$288.40	$331.13	$549.54