Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,778.28 / $18,620.87	Facility		$446.68	$1,778.28	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $380.19 / $831.76	Professional		$223.87	$380.19	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $912.01 / $3,311.31	Facility		$707.95	$912.01	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $467.74 / $1,000.00	Professional		$263.03	$467.74	$1,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $549.54 / $2,818.38	Facility		$295.12	$549.54	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $489.78 / $1,047.13	Professional		$269.15	$489.78	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $151.36	Professional		$32.36	$33.11	$151.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $676.08 / $794.33	Facility		$467.74	$676.08	$794.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $549.54 / $1,862.09	Facility		$537.03	$549.54	$1,862.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $575.44 / $1,000.00	Professional		$323.59	$575.44	$1,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $9,120.11 / $17,378.01	Facility		$5,888.44	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $588.84 / $870.96	Professional		$363.08	$588.84	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $10,232.93 / $18,620.87	Facility		$1,548.82	$10,232.93	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $416.87 / $776.25	Professional		$245.47	$416.87	$776.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $398.11 / $562.34	Professional		$213.80	$398.11	$562.34