Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $7,585.78 / $14,125.38	Facility		$588.84	$7,585.78	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $831.76 / $2,454.71	Professional		$436.52	$831.76	$2,454.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $912.01	Professional		$426.58	$630.96	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $1,995.26	Facility		$707.95	$870.96	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $758.58 / $1,412.54	Professional		$467.74	$758.58	$1,412.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $933.25 / $1,905.46	Facility		$501.19	$933.25	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $891.25 / $1,348.96	Professional		$501.19	$891.25	$1,348.96
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 $758.58 / $912.01 / $954.99	Facility		$758.58	$912.01	$954.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $645.65	Facility		$630.96	$630.96	$645.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,000.00 / $1,380.38	Professional		$645.65	$1,000.00	$1,380.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,677.35 / $8,709.64	Facility		$3,548.13	$4,677.35	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,202.26	Professional		$645.65	$891.25	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $5,754.40 / $11,220.18	Facility		$1,995.26	$5,754.40	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $1,288.25	Professional		$478.63	$707.95	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $524.81 / $851.14	Professional		$457.09	$524.81	$851.14