Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $4,570.88 / $17,782.79	Facility		$323.59	$4,570.88	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $2,398.83 / $7,762.47	Professional		$154.88	$2,398.83	$7,762.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $562.34 / $7,943.28	Professional		$269.15	$562.34	$7,943.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $4,897.79 / $10,964.78	Facility		$269.15	$4,897.79	$10,964.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $3,890.45 / $8,128.31	Professional		$269.15	$3,890.45	$8,128.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,011.87 / $5,370.32	Facility		$3,388.44	$5,011.87	$5,370.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,890.45	Facility		$3,715.35	$3,715.35	$3,890.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $616.60 / $7,244.36	Professional		$239.88	$616.60	$7,244.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,595.87 / $31,622.78	Facility		$12,022.64	$16,595.87	$31,622.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $3,311.31 / $6,760.83	Professional		$263.03	$3,311.31	$6,760.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $20,417.38 / $35,481.34	Facility		$3,467.37	$20,417.38	$35,481.34
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $2,570.40 / $7,585.78	Professional		$229.09	$2,570.40	$7,585.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $281.84 / $3,801.89	Professional		$147.91	$281.84	$3,801.89