Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,000.00 / $17,782.79	Facility		$323.59	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $912.01	Professional		$165.96	$263.03	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $478.63	Facility		$380.19	$380.19	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $346.74 / $691.83	Professional		$194.98	$346.74	$691.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $316.23 / $676.08	Facility		$199.53	$316.23	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $616.60	Professional		$199.53	$331.13	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $158.49	Professional		$32.36	$33.11	$158.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $457.09 / $524.81	Facility		$323.59	$457.09	$524.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $354.81 / $354.81	Facility		$144.54	$354.81	$354.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $407.38 / $660.69	Professional		$234.42	$407.38	$660.69
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 $302.00 / $416.87 / $660.69	Professional		$302.00	$416.87	$660.69
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 $208.93 / $316.23 / $602.56	Professional		$208.93	$316.23	$602.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $275.42 / $512.86	Professional		$33.88	$275.42	$512.86