Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $7,943.28 / $24,547.09	Facility		$1,584.89	$7,943.28	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $2,238.72	Professional		$758.58	$977.24	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $10,471.29	Facility		$1,380.38	$1,698.24	$10,471.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,380.38 / $2,570.40	Professional		$831.76	$1,380.38	$2,570.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,737.80 / $10,000.00	Facility		$891.25	$1,737.80	$10,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,659.59 / $6,606.93	Professional		$812.83	$1,659.59	$6,606.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $104.71	Professional		$32.36	$33.11	$104.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $1,698.24	Facility		$1,230.27	$1,621.81	$1,698.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,148.15 / $1,778.28	Facility		$1,122.02	$1,148.15	$1,778.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,778.28 / $2,454.71	Professional		$1,148.15	$1,778.28	$2,454.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $16,595.87 / $31,622.78	Facility		$10,964.78	$16,595.87	$31,622.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,137.96	Professional		$1,148.15	$1,621.81	$2,137.96
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 $851.14 / $1,230.27 / $2,344.23	Professional		$851.14	$1,230.27	$2,344.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $1,445.44	Professional		$776.25	$891.25	$1,445.44