Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $3,162.28 / $16,218.10	Facility		$398.11	$3,162.28	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $724.44 / $3,311.31	Professional		$186.21	$724.44	$3,311.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $363.08 / $363.08	Professional		$331.13	$363.08	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $3,890.45	Facility		$2,344.23	$2,344.23	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $645.65 / $2,187.76	Professional		$309.03	$645.65	$2,187.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,148.15 / $4,466.84	Facility		$309.03	$1,148.15	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $933.25 / $2,344.23	Professional		$323.59	$933.25	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,445.44 / $1,548.82	Facility		$954.99	$1,445.44	$1,548.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,096.48 / $1,096.48	Facility		$1,071.52	$1,096.48	$1,096.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $691.83 / $2,041.74	Professional		$275.42	$691.83	$2,041.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $9,772.37 / $19,054.61	Facility		$6,606.93	$9,772.37	$19,054.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $933.25 / $1,905.46	Professional		$288.40	$933.25	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $12,302.69 / $20,892.96	Facility		$1,995.26	$12,302.69	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $741.31 / $1,995.26	Professional		$251.19	$741.31	$1,995.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $331.13 / $1,122.02	Professional		$173.78	$331.13	$1,122.02