Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,047.13 / $17,782.79	Facility		$660.69	$1,047.13	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $933.25	Professional		$309.03	$398.11	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $4,466.84	Facility		$467.74	$562.34	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $588.84 / $1,174.90	Professional		$331.13	$588.84	$1,174.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $602.56 / $2,884.03	Facility		$338.84	$602.56	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $602.56 / $1,659.59	Professional		$338.84	$602.56	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $234.42	Professional		$32.36	$33.11	$234.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $691.83 / $794.33	Facility		$489.78	$691.83	$794.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $537.03 / $977.24	Facility		$512.86	$537.03	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $776.25 / $1,023.29	Professional		$489.78	$776.25	$1,023.29
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 $467.74 / $691.83 / $933.25	Professional		$467.74	$691.83	$933.25
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 $371.54 / $524.81 / $1,000.00	Professional		$371.54	$524.81	$1,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $660.69	Professional		$346.74	$467.74	$660.69