Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,311.31 / $7,413.10	Facility		$691.83	$3,311.31	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $933.25	Professional		$446.68	$588.84	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,659.59 / $1,905.46	Facility		$776.25	$1,659.59	$1,905.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $741.31 / $3,467.37	Facility		$660.69	$741.31	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $1,258.93	Professional		$588.84	$741.31	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $812.83 / $1,288.25	Facility		$660.69	$812.83	$1,288.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,288.25 / $2,238.72	Facility		$741.31	$1,288.25	$2,238.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $891.25	Professional		$660.69	$660.69	$891.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,041.74	Facility		$776.25	$1,122.02	$2,041.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $660.69 / $831.76	Professional		$630.96	$660.69	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $891.25 / $891.25	Facility		$741.31	$891.25	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $831.76	Professional		$309.03	$309.03	$831.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $741.31 / $1,348.96	Professional		$331.13	$741.31	$1,348.96