Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $3,890.45 / $18,620.87	Facility		$331.13	$3,890.45	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $524.81	Professional		$158.49	$208.93	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,981.07	Facility		$2,398.83	$2,398.83	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $389.05 / $645.65	Professional		$213.80	$389.05	$645.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $416.87 / $4,466.84	Facility		$223.87	$416.87	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $389.05 / $1,778.28	Professional		$223.87	$389.05	$1,778.28
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 $257.04 / $389.05 / $467.74	Facility		$257.04	$389.05	$467.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $436.52 / $588.84	Professional		$239.88	$436.52	$588.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $8,912.51 / $16,982.44	Facility		$5,888.44	$8,912.51	$16,982.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $537.03	Professional		$239.88	$363.08	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $11,220.18 / $19,498.45	Facility		$1,995.26	$11,220.18	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $588.84	Professional		$204.17	$295.12	$588.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $316.23	Professional		$154.88	$229.09	$316.23