Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $3,162.28	Professional		$380.19	$457.09	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $234.42 / $676.08	Professional		$204.17	$234.42	$676.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $891.25	Facility		$758.58	$758.58	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $891.25	Professional		$758.58	$758.58	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $562.34 / $870.96	Professional		$72.44	$562.34	$870.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $776.25 / $851.14	Facility		$724.44	$776.25	$851.14
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $724.44 / $851.14	Professional		$660.69	$724.44	$851.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $660.69 / $1,000.00	Facility		$60.26	$660.69	$1,000.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $660.69	Professional		$60.26	$83.18	$660.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $70.79	Professional		$58.88	$70.79	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $251.19 / $562.34	Facility		$4.37	$251.19	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $363.08 / $707.95	Professional		$338.84	$363.08	$707.95