Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,778.28 / $18,620.87	Facility		$389.05	$1,778.28	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $912.01	Professional		$199.53	$316.23	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $741.31	Facility		$524.81	$524.81	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $416.87 / $812.83	Professional		$234.42	$416.87	$812.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $426.58 / $831.76	Facility		$269.15	$426.58	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $758.58	Professional		$269.15	$426.58	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $194.98	Professional		$32.36	$33.11	$194.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $562.34 / $616.60	Facility		$398.11	$562.34	$616.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $416.87 / $416.87	Facility		$257.04	$416.87	$416.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $501.19 / $776.25	Professional		$281.84	$501.19	$776.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,606.93 / $12,589.25	Facility		$4,365.16	$6,606.93	$12,589.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $776.25	Professional		$363.08	$512.86	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $7,413.10 / $13,489.63	Facility		$1,380.38	$7,413.10	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $398.11 / $741.31	Professional		$257.04	$398.11	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $354.81 / $602.56	Professional		$40.74	$354.81	$602.56