Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,818.38 / $17,782.79	Facility		$562.34	$2,818.38	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $912.01	Professional		$251.19	$398.11	$912.01
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 $302.00 / $549.54 / $1,096.48	Professional		$302.00	$549.54	$1,096.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $616.60 / $2,884.03	Facility		$338.84	$616.60	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $616.60 / $1,659.59	Professional		$338.84	$616.60	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $229.09	Professional		$32.36	$33.11	$229.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $758.58 / $851.14	Facility		$588.84	$758.58	$851.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $537.03 / $977.24	Facility		$524.81	$537.03	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $630.96 / $954.99	Professional		$371.54	$630.96	$954.99
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 $346.74 / $562.34 / $933.25	Professional		$346.74	$562.34	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,471.29 / $18,620.87	Facility		$1,995.26	$10,471.29	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $537.03 / $1,000.00	Professional		$331.13	$537.03	$1,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $389.05 / $549.54	Professional		$245.47	$389.05	$549.54