Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,981.07 / $16,218.10	Facility		$645.65	$3,981.07	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $501.19 / $1,412.54	Professional		$309.03	$501.19	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $3,388.44	Facility		$630.96	$758.58	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $660.69 / $1,380.38	Professional		$354.81	$660.69	$1,380.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $691.83 / $2,238.72	Facility		$389.05	$691.83	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $676.08 / $1,445.44	Professional		$389.05	$676.08	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $870.96 / $1,000.00	Facility		$630.96	$870.96	$1,000.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $676.08 / $741.31	Facility		$660.69	$676.08	$741.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $831.76 / $1,230.27	Professional		$478.63	$831.76	$1,230.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,128.31 / $15,488.17	Facility		$5,370.32	$8,128.31	$15,488.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $724.44 / $1,148.15	Professional		$457.09	$724.44	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $16,595.87	Facility		$1,995.26	$10,000.00	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $1,174.90	Professional		$398.11	$602.56	$1,174.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $537.03 / $758.58	Professional		$331.13	$537.03	$758.58