Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $8,912.51 / $23,442.29	Facility		$549.54	$8,912.51	$23,442.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $851.14 / $4,897.79	Professional		$263.03	$851.14	$4,897.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $380.19	Professional		$323.59	$323.59	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $812.83 / $5,888.44	Professional		$380.19	$812.83	$5,888.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,570.40 / $6,025.60	Facility		$457.09	$2,570.40	$6,025.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $2,290.87 / $5,495.41	Professional		$446.68	$2,290.87	$5,495.41
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 $2,238.72 / $3,467.37 / $4,168.69	Facility		$2,238.72	$3,467.37	$4,168.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,019.95	Facility		$2,884.03	$2,884.03	$3,019.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $870.96 / $5,495.41	Professional		$346.74	$870.96	$5,495.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $14,125.38 / $26,915.35	Facility		$9,549.93	$14,125.38	$26,915.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $2,089.30 / $5,128.61	Professional		$380.19	$2,089.30	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $17,378.01 / $30,199.52	Facility		$2,454.71	$17,378.01	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,659.59 / $5,248.07	Professional		$346.74	$1,659.59	$5,248.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $407.38 / $2,951.21	Professional		$213.80	$407.38	$2,951.21