Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $6,025.60 / $18,620.87	Facility		$501.19	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $338.84 / $794.33	Professional		$269.15	$338.84	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $9,120.11	Facility		$630.96	$758.58	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $467.74 / $812.83	Professional		$281.84	$467.74	$812.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $602.56 / $7,943.28	Facility		$346.74	$602.56	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $512.86 / $4,168.69	Professional		$288.40	$512.86	$4,168.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $109.65	Professional		$32.36	$33.11	$109.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $537.03 / $602.56	Facility		$446.68	$537.03	$602.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $371.54 / $2,691.53	Facility		$363.08	$371.54	$2,691.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $794.33	Professional		$371.54	$575.44	$794.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $21,379.62 / $40,738.03	Facility		$12,882.50	$21,379.62	$40,738.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $524.81 / $691.83	Professional		$426.58	$524.81	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $18,620.87 / $36,307.81	Facility		$2,137.96	$18,620.87	$36,307.81
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $691.83	Professional		$269.15	$426.58	$691.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $288.40 / $478.63	Professional		$251.19	$288.40	$478.63