Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,445.44 / $17,782.79	Facility		$363.08	$1,445.44	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $478.63 / $1,071.52	Professional		$181.97	$478.63	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $2,398.83	Facility		$501.19	$870.96	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $549.54 / $1,479.11	Professional		$229.09	$549.54	$1,479.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $812.83 / $1,659.59	Facility		$275.42	$812.83	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $537.03 / $1,380.38	Professional		$223.87	$537.03	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $87.10	Professional		$32.36	$33.11	$87.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $776.25 / $1,202.26	Facility		$741.31	$776.25	$1,202.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $724.44 / $1,412.54	Professional		$257.04	$724.44	$1,412.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,311.31 / $6,456.54	Facility		$2,290.87	$3,311.31	$6,456.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $741.31 / $1,230.27	Professional		$288.40	$741.31	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,715.35 / $7,079.46	Facility		$933.25	$3,715.35	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $524.81 / $1,122.02	Professional		$208.93	$524.81	$1,122.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $309.03 / $912.01	Professional		$162.18	$309.03	$912.01