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 $186.21 / $263.03 / $302.00	Professional		$186.21	$263.03	$302.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,202.26 / $1,737.80	Facility		$275.42	$1,202.26	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $64.57	Professional		$44.67	$50.12	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $537.03 / $562.34	Facility		$407.38	$537.03	$562.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $380.19	Facility		$354.81	$354.81	$380.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $812.83	Professional		$380.19	$602.56	$812.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,122.02 / $2,137.96	Facility		$831.76	$1,122.02	$2,137.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $537.03 / $724.44	Professional		$363.08	$537.03	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,659.59 / $3,548.13	Facility		$645.65	$1,659.59	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $446.68 / $758.58	Professional		$281.84	$446.68	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97