Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,513.56 / $17,782.79	Facility		$316.23	$1,513.56	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $371.54 / $851.14	Professional		$162.18	$371.54	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $549.54	Facility		$331.13	$331.13	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $478.63 / $1,047.13	Professional		$251.19	$478.63	$1,047.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $489.78 / $1,819.70	Facility		$245.47	$489.78	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $436.52 / $933.25	Professional		$245.47	$436.52	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $691.83 / $776.25	Facility		$501.19	$691.83	$776.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $501.19 / $977.24	Professional		$223.87	$501.19	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,754.40 / $10,964.78	Facility		$3,801.89	$5,754.40	$10,964.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $446.68 / $912.01	Professional		$245.47	$446.68	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $7,244.36 / $12,589.25	Facility		$933.25	$7,244.36	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $457.09 / $954.99	Professional		$208.93	$457.09	$954.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $275.42 / $501.19	Professional		$144.54	$275.42	$501.19