Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $6,025.60 / $18,620.87	Facility		$1,230.27	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,513.56	Professional		$524.81	$691.83	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,122.02 / $2,818.38	Facility		$645.65	$1,122.02	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $1,949.84	Professional		$724.44	$1,023.29	$1,949.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,513.56 / $8,128.31	Facility		$812.83	$1,513.56	$8,128.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,412.54 / $2,630.27	Professional		$812.83	$1,412.54	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,318.26	Facility		$831.76	$1,148.15	$1,318.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $891.25 / $977.24	Facility		$870.96	$891.25	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,479.11 / $1,905.46	Professional		$891.25	$1,479.11	$1,905.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,128.31 / $15,488.17	Facility		$5,370.32	$8,128.31	$15,488.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,202.26 / $1,659.59	Professional		$758.58	$1,202.26	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $8,912.51 / $16,595.87	Facility		$1,047.13	$8,912.51	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,819.70	Professional		$660.69	$870.96	$1,819.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $691.83 / $1,148.15	Professional		$602.56	$691.83	$1,148.15