Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,737.80 / $17,782.79	Facility		$346.74	$1,737.80	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $562.34	Professional		$181.97	$234.42	$562.34
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 $257.04 / $389.05 / $588.84	Professional		$257.04	$389.05	$588.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $436.52 / $4,466.84	Facility		$251.19	$436.52	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $426.58 / $1,737.80	Professional		$251.19	$426.58	$1,737.80
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 $316.23 / $398.11 / $426.58	Facility		$316.23	$398.11	$426.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $295.12 / $295.12	Facility		$281.84	$295.12	$295.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $436.52 / $575.44	Professional		$263.03	$436.52	$575.44
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 $263.03 / $380.19 / $524.81	Professional		$263.03	$380.19	$524.81
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 $218.78 / $316.23 / $562.34	Professional		$218.78	$316.23	$562.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $323.59	Professional		$169.82	$239.88	$323.59