Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $2,398.83 / $18,620.87	Facility		$257.04	$2,398.83	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $575.44 / $1,548.82	Professional		$109.65	$575.44	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $398.11 / $1,905.46	Professional		$199.53	$398.11	$1,905.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $851.14 / $2,137.96	Facility		$194.98	$851.14	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $389.05 / $1,905.46	Professional		$199.53	$389.05	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $77.62	Professional		$32.36	$33.11	$77.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,659.59	Facility		$1,000.00	$1,202.26	$1,659.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $891.25	Facility		$851.14	$851.14	$891.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $436.52 / $1,698.24	Professional		$173.78	$436.52	$1,698.24
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 $190.55 / $407.38 / $1,621.81	Professional		$190.55	$407.38	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,630.27 / $4,897.79	Facility		$933.25	$2,630.27	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $602.56 / $1,819.70	Professional		$169.82	$602.56	$1,819.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $199.53 / $891.25	Professional		$104.71	$199.53	$891.25