Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,000.00 / $17,782.79	Facility		$257.04	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $549.54	Professional		$131.83	$204.17	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $2,884.03	Facility		$478.63	$478.63	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $562.34	Professional		$151.36	$263.03	$562.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $323.59 / $2,630.27	Facility		$165.96	$323.59	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $323.59 / $1,513.56	Professional		$165.96	$323.59	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $125.89	Professional		$32.36	$33.11	$125.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $354.81 / $398.11	Facility		$251.19	$354.81	$398.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $269.15 / $630.96	Facility		$263.03	$269.15	$630.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $323.59 / $489.78	Professional		$181.97	$323.59	$489.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $6,606.93 / $12,589.25	Facility		$4,466.84	$6,606.93	$12,589.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $501.19	Professional		$239.88	$346.74	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $6,918.31 / $13,182.57	Facility		$602.56	$6,918.31	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $478.63	Professional		$158.49	$251.19	$478.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $223.87 / $389.05	Professional		$26.30	$223.87	$389.05