Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $3,548.13 / $18,620.87	Facility		$190.55	$3,548.13	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $288.40	Professional		$93.33	$117.49	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $3,981.07	Facility		$467.74	$562.34	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $323.59	Professional		$107.15	$181.97	$323.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $223.87 / $3,388.44	Facility		$117.49	$223.87	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $194.98 / $1,778.28	Professional		$97.72	$194.98	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $60.26	Professional		$32.36	$33.11	$60.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $199.53 / $208.93	Facility		$169.82	$199.53	$208.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $141.25 / $1,995.26	Facility		$138.04	$141.25	$1,995.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $302.00	Professional		$141.25	$218.78	$302.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $7,943.28 / $15,135.61	Facility		$5,370.32	$7,943.28	$15,135.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $263.03	Professional		$154.88	$199.53	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $8,709.64 / $15,488.17	Facility		$1,548.82	$8,709.64	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $263.03	Professional		$97.72	$147.91	$263.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $112.20 / $186.21	Professional		$97.72	$112.20	$186.21