Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,187.76 / $4,897.79	Facility		$457.09	$2,187.76	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $588.84	Professional		$288.40	$389.05	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,071.52 / $1,258.93	Facility		$501.19	$1,071.52	$1,258.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $489.78 / $2,238.72	Facility		$436.52	$489.78	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $831.76	Professional		$389.05	$489.78	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $75.86	Professional		$44.67	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $851.14	Facility		$489.78	$489.78	$851.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $851.14 / $1,445.44	Facility		$489.78	$851.14	$1,445.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $588.84	Professional		$436.52	$436.52	$588.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $724.44 / $1,348.96	Facility		$512.86	$724.44	$1,348.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $436.52 / $549.54	Professional		$416.87	$436.52	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $588.84 / $588.84	Facility		$489.78	$588.84	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $549.54	Professional		$204.17	$204.17	$549.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $489.78 / $870.96	Professional		$218.78	$489.78	$870.96