Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $7,762.47 / $20,892.96	Facility		$912.01	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $1,230.27	Professional		$398.11	$524.81	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $776.25 / $933.25	Facility		$707.95	$776.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $794.33 / $1,479.11	Professional		$457.09	$794.33	$1,479.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $691.83 / $1,288.25	Facility		$436.52	$691.83	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $691.83 / $1,202.26	Professional		$436.52	$691.83	$1,202.26
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 $630.96 / $891.25 / $977.24	Facility		$630.96	$891.25	$977.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $645.65 / $660.69	Facility		$588.84	$645.65	$660.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,023.29 / $1,412.54	Professional		$660.69	$1,023.29	$1,412.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $3,467.37	Facility		$1,348.96	$1,862.09	$3,467.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $1,230.27	Professional		$645.65	$912.01	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,570.40 / $5,754.40	Facility		$416.87	$2,570.40	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $1,288.25	Professional		$467.74	$676.08	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $537.03 / $891.25	Professional		$467.74	$537.03	$891.25