Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $7,943.28 / $20,892.96	Facility		$776.25	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $1,288.25	Professional		$398.11	$512.86	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $831.76 / $1,230.27	Professional		$524.81	$831.76	$1,230.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $891.25 / $1,096.48	Facility		$512.86	$891.25	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $891.25 / $1,096.48	Professional		$512.86	$891.25	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $794.33 / $851.14	Facility		$691.83	$794.33	$851.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $933.25 / $1,230.27	Professional		$575.44	$933.25	$1,230.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $1,122.02	Professional		$588.84	$831.76	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,311.31 / $37,153.52	Facility		$1,122.02	$3,311.31	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,174.90	Professional		$446.68	$660.69	$1,174.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $489.78 / $691.83	Professional		$416.87	$489.78	$691.83