Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $7,943.28 / $21,877.62	Facility		$2,570.40	$7,943.28	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $3,630.78	Professional		$1,230.27	$1,584.89	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $870.96	Facility		$758.58	$758.58	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,238.72 / $4,168.69	Professional		$1,258.93	$2,238.72	$4,168.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,818.38 / $10,000.00	Facility		$1,380.38	$2,818.38	$10,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,754.23 / $6,760.83	Professional		$1,380.38	$2,754.23	$6,760.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $87.10	Professional		$32.36	$33.11	$87.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $2,818.38	Facility		$2,089.30	$2,691.53	$2,818.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,862.09	Facility		$1,819.70	$1,819.70	$1,862.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,884.03 / $3,890.45	Professional		$1,862.09	$2,884.03	$3,890.45
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 $1,862.09 / $2,570.40 / $3,467.37	Professional		$1,862.09	$2,570.40	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $17,782.79 / $33,884.42	Facility		$3,467.37	$17,782.79	$33,884.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $3,801.89	Professional		$1,412.54	$1,995.26	$3,801.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,445.44 / $2,398.83	Professional		$1,258.93	$1,445.44	$2,398.83