Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,000.00 / $17,782.79	Facility		$331.13	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $331.13 / $912.01	Professional		$165.96	$331.13	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $1,023.29	Facility		$549.54	$549.54	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $407.38 / $870.96	Professional		$199.53	$407.38	$870.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $398.11 / $870.96	Facility		$218.78	$398.11	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $398.11 / $812.83	Professional		$218.78	$398.11	$812.83
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 $436.52 / $602.56 / $660.69	Facility		$436.52	$602.56	$660.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $446.68 / $457.09	Facility		$269.15	$446.68	$457.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $457.09 / $831.76	Professional		$234.42	$457.09	$831.76
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 $302.00 / $457.09 / $831.76	Professional		$302.00	$457.09	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $6,760.83 / $13,489.63	Facility		$398.11	$6,760.83	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $398.11 / $794.33	Professional		$213.80	$398.11	$794.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $275.42 / $645.65	Professional		$43.65	$275.42	$645.65