Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $302.00 / $1,862.09	Professional		$229.09	$302.00	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $398.11	Facility		$302.00	$302.00	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $398.11	Professional		$257.04	$302.00	$398.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $676.08	Facility		$446.68	$446.68	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $676.08	Professional		$446.68	$446.68	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $457.09 / $562.34	Professional		$75.86	$457.09	$562.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $457.09 / $645.65	Facility		$436.52	$457.09	$645.65
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $457.09 / $575.44	Professional		$436.52	$457.09	$575.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $426.58 / $588.84	Facility		$36.31	$426.58	$588.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $54.95 / $426.58	Professional		$36.31	$54.95	$426.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $53.70 / $53.70	Professional		$44.67	$53.70	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $162.18 / $316.23	Facility		$3.39	$162.18	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $457.09	Professional		$234.42	$302.00	$457.09