Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,981.07 / $17,782.79	Facility		$954.99	$3,981.07	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $758.58 / $2,187.76	Professional		$467.74	$758.58	$2,187.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $489.78	Professional		$316.23	$316.23	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $676.08 / $3,715.35	Facility		$630.96	$676.08	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,000.00 / $1,995.26	Professional		$575.44	$1,000.00	$1,995.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,096.48 / $2,884.03	Facility		$676.08	$1,096.48	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,071.52 / $2,041.74	Professional		$676.08	$1,071.52	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $1,445.44	Facility		$1,047.13	$1,380.38	$1,445.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $954.99 / $977.24	Facility		$933.25	$954.99	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,202.26 / $1,737.80	Professional		$691.83	$1,202.26	$1,737.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $9,120.11 / $17,378.01	Facility		$6,760.83	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,047.13 / $1,659.59	Professional		$645.65	$1,047.13	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $11,220.18 / $18,620.87	Facility		$2,454.71	$11,220.18	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $1,778.28	Professional		$616.60	$933.25	$1,778.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $1,023.29	Professional		$467.74	$724.44	$1,023.29