Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $8,128.31 / $20,892.96	Facility		$1,000.00	$8,128.31	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $588.84 / $1,318.26	Professional		$478.63	$588.84	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,698.24 / $8,317.64	Facility		$1,479.11	$1,698.24	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $870.96 / $1,621.81	Professional		$501.19	$870.96	$1,621.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,096.48 / $6,760.83	Facility		$524.81	$1,096.48	$6,760.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,071.52 / $5,248.07	Professional		$524.81	$1,071.52	$5,248.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $239.88	Professional		$32.36	$33.11	$239.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,071.52	Facility		$812.83	$1,023.29	$1,071.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $724.44 / $1,778.28	Facility		$707.95	$724.44	$1,778.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,122.02 / $1,513.56	Professional		$724.44	$1,122.02	$1,513.56
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 $707.95 / $1,000.00 / $1,348.96	Professional		$707.95	$1,000.00	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $17,378.01 / $33,884.42	Facility		$1,995.26	$17,378.01	$33,884.42
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,445.44	Professional		$524.81	$758.58	$1,445.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $549.54 / $891.25	Professional		$478.63	$549.54	$891.25