Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $11,748.98 / $21,877.62	Facility		$1,778.28	$11,748.98	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $645.65	Professional		$346.74	$501.19	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $323.59	Professional		$269.15	$269.15	$323.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $208.93 / $275.42	Facility		$199.53	$208.93	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
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 $549.54 / $776.25 / $912.01	Facility		$549.54	$776.25	$912.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $1,318.26	Professional		$616.60	$933.25	$1,318.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $676.08 / $1,288.25	Facility		$562.34	$676.08	$1,288.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,174.90	Professional		$630.96	$851.14	$1,174.90
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 $537.03 / $870.96 / $1,548.82	Professional		$537.03	$870.96	$1,548.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86