Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $691.83 / $17,782.79	Facility		$295.12	$691.83	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $467.74	Professional		$134.90	$213.80	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $354.81 / $724.44	Facility		$234.42	$354.81	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $323.59 / $616.60	Professional		$199.53	$323.59	$616.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $371.54 / $645.65	Facility		$223.87	$371.54	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $363.08 / $602.56	Professional		$223.87	$363.08	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $100.00	Professional		$32.36	$33.11	$100.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $457.09 / $478.63	Facility		$302.00	$457.09	$478.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $316.23 / $323.59	Facility		$186.21	$316.23	$323.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $380.19 / $588.84	Professional		$213.80	$380.19	$588.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $3,801.89	Facility		$1,348.96	$1,995.26	$3,801.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $323.59 / $489.78	Professional		$208.93	$323.59	$489.78
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 $194.98 / $302.00 / $588.84	Professional		$194.98	$302.00	$588.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $245.47 / $346.74	Professional		$134.90	$245.47	$346.74