Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $1,000.00 / $17,782.79	Facility		$87.10	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $138.04 / $354.81	Professional		$41.69	$138.04	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $162.18 / $549.54	Professional		$50.12	$162.18	$549.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $128.82 / $478.63	Facility		$57.54	$128.82	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $128.82 / $478.63	Professional		$56.23	$128.82	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $70.79	Professional		$28.18	$33.11	$70.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $338.84 / $426.58	Facility		$213.80	$338.84	$426.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $302.00	Facility		$288.40	$288.40	$302.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $234.42 / $562.34	Professional		$67.61	$234.42	$562.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $165.96 / $478.63	Professional		$74.13	$165.96	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $660.69 / $6,165.95	Facility		$416.87	$660.69	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $162.18 / $467.74	Professional		$51.29	$162.18	$467.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $72.44 / $323.59	Professional		$38.90	$72.44	$323.59