Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $4,265.80 / $18,620.87	Facility		$616.60	$4,265.80	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $954.99	Professional		$281.84	$389.05	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $2,630.27	Facility		$467.74	$562.34	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $537.03 / $1,000.00	Professional		$302.00	$537.03	$1,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $676.08 / $2,454.71	Facility		$338.84	$676.08	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $630.96 / $1,621.81	Professional		$338.84	$630.96	$1,621.81
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 $512.86 / $616.60 / $660.69	Facility		$512.86	$616.60	$660.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $446.68 / $602.56	Facility		$436.52	$446.68	$602.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $691.83 / $954.99	Professional		$446.68	$691.83	$954.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,495.41 / $10,471.29	Facility		$3,890.45	$5,495.41	$10,471.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $831.76	Professional		$446.68	$630.96	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,760.83 / $11,220.18	Facility		$1,995.26	$6,760.83	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $478.63 / $891.25	Professional		$323.59	$478.63	$891.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $363.08 / $588.84	Professional		$316.23	$363.08	$588.84