Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $4,365.16 / $18,620.87	Facility		$645.65	$4,365.16	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $501.19 / $1,288.25	Professional		$309.03	$501.19	$1,288.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $2,754.23	Professional		$467.74	$467.74	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $4,466.84	Facility		$891.25	$1,071.52	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $660.69 / $1,380.38	Professional		$354.81	$660.69	$1,380.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $691.83 / $2,884.03	Facility		$389.05	$691.83	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $691.83 / $1,659.59	Professional		$389.05	$691.83	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $281.84	Professional		$32.36	$33.11	$281.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $933.25 / $954.99	Facility		$660.69	$933.25	$954.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $660.69 / $977.24	Facility		$645.65	$660.69	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $812.83 / $1,202.26	Professional		$467.74	$812.83	$1,202.26
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 $446.68 / $707.95 / $1,122.02	Professional		$446.68	$707.95	$1,122.02
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 $407.38 / $616.60 / $1,202.26	Professional		$407.38	$616.60	$1,202.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $691.83	Professional		$316.23	$489.78	$691.83