Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $3,235.94 / $13,803.84	Facility		$218.78	$3,235.94	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $831.76 / $2,511.89	Professional		$114.82	$831.76	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $954.99	Facility		$501.19	$707.95	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $478.63 / $3,162.28	Professional		$147.91	$478.63	$3,162.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,000.00 / $3,019.95	Facility		$158.49	$1,000.00	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $870.96 / $2,754.23	Professional		$144.54	$870.96	$2,754.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $74.13	Professional		$32.36	$33.11	$74.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,238.72 / $2,511.89	Facility		$1,380.38	$2,238.72	$2,511.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,778.28	Facility		$1,698.24	$1,698.24	$1,778.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $1,318.26 / $3,235.94	Professional		$165.96	$1,318.26	$3,235.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,570.88 / $8,709.64	Facility		$2,951.21	$4,570.88	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $676.08 / $2,754.23	Professional		$186.21	$676.08	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,897.79 / $9,332.54	Facility		$602.56	$4,897.79	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $954.99 / $2,344.23	Professional		$134.90	$954.99	$2,344.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $199.53 / $1,778.28	Professional		$104.71	$199.53	$1,778.28