Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $6,025.60 / $18,620.87	Facility		$870.96	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $1,202.26	Professional		$398.11	$512.86	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $4,466.84	Facility		$630.96	$758.58	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $741.31 / $1,412.54	Professional		$436.52	$741.31	$1,412.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $933.25 / $3,890.45	Facility		$478.63	$933.25	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $891.25 / $2,818.38	Professional		$426.58	$891.25	$2,818.38
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 $645.65 / $851.14 / $933.25	Facility		$645.65	$851.14	$933.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $630.96 / $977.24	Facility		$602.56	$630.96	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $977.24 / $1,318.26	Professional		$630.96	$977.24	$1,318.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $9,120.11 / $17,378.01	Facility		$6,165.95	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $1,174.90	Professional		$616.60	$870.96	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $9,549.93 / $18,620.87	Facility		$1,122.02	$9,549.93	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $1,202.26	Professional		$446.68	$645.65	$1,202.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $489.78 / $812.83	Professional		$426.58	$489.78	$812.83