Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $2,818.38 / $17,782.79	Facility		$181.97	$2,818.38	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $288.40	Professional		$83.18	$102.33	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,659.59	Facility		$1,000.00	$1,000.00	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $295.12	Professional		$125.89	$199.53	$295.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $234.42 / $4,677.35	Facility		$138.04	$234.42	$4,677.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $1,348.96	Professional		$131.83	$218.78	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $186.21 / $194.98	Facility		$151.36	$186.21	$194.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $131.83 / $131.83	Facility		$125.89	$131.83	$131.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $281.84	Professional		$131.83	$218.78	$281.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,677.35 / $8,709.64	Facility		$3,548.13	$4,677.35	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $251.19	Professional		$128.82	$186.21	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,165.95 / $9,772.37	Facility		$1,698.24	$6,165.95	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $275.42	Professional		$95.50	$154.88	$275.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $169.82	Professional		$89.13	$120.23	$169.82