Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $10,232.93 / $28,183.83	Facility		$104.71	$10,232.93	$28,183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $120.23	Professional		$64.57	$100.00	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $870.96	Facility		$501.19	$707.95	$870.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $64.57 / $91.20	Facility		$46.77	$64.57	$91.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $144.54	Facility		$134.90	$134.90	$144.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $302.00	Professional		$144.54	$213.80	$302.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $537.03	Facility		$426.58	$426.58	$537.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $251.19	Professional		$138.04	$190.55	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $549.54 / $5,754.40	Facility		$158.49	$549.54	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $275.42	Professional		$104.71	$147.91	$275.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $100.00 / $138.04	Professional		$66.07	$100.00	$138.04