Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $8,128.31 / $20,892.96	Facility		$467.74	$8,128.31	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $691.83	Professional		$223.87	$281.84	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $3,311.31	Facility		$891.25	$1,071.52	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $741.31	Professional		$251.19	$398.11	$741.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $512.86 / $3,467.37	Facility		$281.84	$512.86	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $457.09 / $1,819.70	Professional		$229.09	$457.09	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $112.20	Professional		$32.36	$33.11	$112.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $467.74 / $501.19	Facility		$389.05	$467.74	$501.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $338.84 / $1,862.09	Facility		$323.59	$338.84	$1,862.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $724.44	Professional		$338.84	$524.81	$724.44
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 $371.54 / $467.74 / $630.96	Professional		$371.54	$467.74	$630.96
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 $229.09 / $338.84 / $616.60	Professional		$229.09	$338.84	$616.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $257.04 / $426.58	Professional		$223.87	$257.04	$426.58