Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,456.54 / $20,892.96	Facility		$1,737.80	$6,456.54	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $331.13 / $741.31	Professional		$104.71	$331.13	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $75.86	Professional		$32.36	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $93.33 / $141.25	Facility		$51.29	$93.33	$141.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $354.81	Facility		$199.53	$199.53	$354.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $977.24	Professional		$331.13	$457.09	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,137.96	Facility		$776.25	$1,122.02	$2,137.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $389.05 / $977.24	Professional		$218.78	$389.05	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,659.59 / $3,548.13	Facility		$660.69	$1,659.59	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $93.33 / $457.09	Professional		$56.23	$93.33	$457.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.25 / $281.84	Professional		$85.11	$141.25	$281.84