Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,000.00 / $17,782.79	Facility		$309.03	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $741.31	Professional		$158.49	$245.47	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $478.63	Facility		$281.84	$281.84	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $562.34	Professional		$190.55	$302.00	$562.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $269.15 / $524.81	Facility		$151.36	$269.15	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $281.84 / $489.78	Professional		$151.36	$281.84	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $104.71	Professional		$32.36	$33.11	$104.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $380.19 / $407.38	Facility		$281.84	$380.19	$407.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $269.15 / $281.84	Facility		$128.82	$269.15	$281.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $389.05 / $512.86	Professional		$229.09	$389.05	$512.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $831.76 / $1,584.89	Facility		$602.56	$831.76	$1,584.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $524.81	Professional		$275.42	$380.19	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,096.48 / $2,511.89	Facility		$154.88	$1,096.48	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $524.81	Professional		$199.53	$275.42	$524.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $245.47 / $407.38	Professional		$26.92	$245.47	$407.38