Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $3,235.94 / $10,232.93	Facility		$323.59	$3,235.94	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $1,202.26	Professional		$194.98	$309.03	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $912.01 / $1,659.59	Facility		$562.34	$912.01	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $776.25	Professional		$281.84	$436.52	$776.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $549.54 / $1,905.46	Facility		$346.74	$549.54	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $954.99	Professional		$346.74	$537.03	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $97.72	Professional		$32.36	$33.11	$97.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $602.56 / $1,174.90	Facility		$436.52	$602.56	$1,174.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $426.58 / $501.19	Facility		$416.87	$426.58	$501.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $524.81 / $776.25	Professional		$309.03	$524.81	$776.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,570.88 / $8,709.64	Facility		$3,090.30	$4,570.88	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $660.69	Professional		$302.00	$446.68	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $5,128.61 / $9,332.54	Facility		$676.08	$5,128.61	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $426.58 / $794.33	Professional		$295.12	$426.58	$794.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $323.59 / $457.09	Professional		$199.53	$323.59	$457.09