Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,548.13 / $18,620.87	Facility		$870.96	$3,548.13	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $1,148.15	Professional		$389.05	$512.86	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $2,398.83	Facility		$501.19	$707.95	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $741.31 / $1,412.54	Professional		$416.87	$741.31	$1,412.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $891.25 / $1,949.84	Facility		$426.58	$891.25	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $891.25 / $1,548.82	Professional		$426.58	$891.25	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $208.93	Professional		$32.36	$33.11	$208.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $851.14 / $933.25	Facility		$660.69	$851.14	$933.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $630.96 / $776.25	Facility		$602.56	$630.96	$776.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $977.24 / $1,348.96	Professional		$630.96	$977.24	$1,348.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,570.88 / $8,709.64	Facility		$2,951.21	$4,570.88	$8,709.64
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 $416.87 / $5,495.41 / $9,120.11	Facility		$416.87	$5,495.41	$9,120.11
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 $446.68 / $512.86 / $851.14	Professional		$446.68	$512.86	$851.14