Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,949.84 / $11,481.54	Facility		$154.88	$1,949.84	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $346.74 / $954.99	Professional		$74.13	$346.74	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,122.02	Facility		$645.65	$645.65	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $354.81 / $1,047.13	Professional		$104.71	$354.81	$1,047.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $630.96 / $1,479.11	Facility		$128.82	$630.96	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $257.04 / $1,047.13	Professional		$131.83	$257.04	$1,047.13
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 $457.09 / $691.83 / $1,023.29	Facility		$457.09	$691.83	$1,023.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $512.86	Facility		$489.78	$489.78	$512.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $331.13 / $954.99	Professional		$112.20	$331.13	$954.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $3,801.89	Facility		$1,412.54	$1,995.26	$3,801.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $275.42 / $812.83	Professional		$114.82	$275.42	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,454.71 / $4,786.30	Facility		$676.08	$2,454.71	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $346.74 / $1,023.29	Professional		$109.65	$346.74	$1,023.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $134.90 / $512.86	Professional		$70.79	$134.90	$512.86