Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,041.74 / $4,466.84	Facility		$426.58	$2,041.74	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $371.54 / $537.03	Professional		$295.12	$371.54	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,000.00 / $1,174.90	Facility		$467.74	$1,000.00	$1,174.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $446.68 / $2,089.30	Facility		$407.38	$446.68	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $758.58	Professional		$363.08	$446.68	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $501.19 / $794.33	Facility		$407.38	$501.19	$794.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $794.33 / $1,348.96	Facility		$446.68	$794.33	$1,348.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $537.03	Professional		$407.38	$407.38	$537.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $676.08 / $1,230.27	Facility		$478.63	$676.08	$1,230.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $407.38 / $501.19	Professional		$380.19	$407.38	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $537.03 / $537.03	Facility		$446.68	$537.03	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $501.19	Professional		$190.55	$190.55	$501.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $446.68 / $812.83	Professional		$204.17	$446.68	$812.83