Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $3,548.13 / $8,511.38	Facility		$218.78	$3,548.13	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $218.78 / $891.25	Professional		$89.13	$218.78	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $295.12 / $676.08	Professional		$154.88	$295.12	$676.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $309.03 / $676.08	Facility		$154.88	$309.03	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $269.15 / $616.60	Professional		$158.49	$269.15	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $61.66	Professional		$32.36	$33.11	$61.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $467.74 / $478.63	Facility		$331.13	$467.74	$478.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $331.13	Facility		$323.59	$323.59	$331.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $323.59 / $630.96	Professional		$134.90	$323.59	$630.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,570.88 / $8,709.64	Facility		$2,951.21	$4,570.88	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $281.84 / $575.44	Professional		$147.91	$281.84	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,165.95 / $9,772.37	Facility		$1,698.24	$6,165.95	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $281.84 / $616.60	Professional		$131.83	$281.84	$616.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $158.49 / $338.84	Professional		$83.18	$158.49	$338.84