Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $7,943.28 / $20,892.96	Facility		$1,380.38	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $1,949.84	Professional		$660.69	$851.14	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,290.87	Facility		$1,995.26	$1,995.26	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,202.26 / $2,238.72	Professional		$691.83	$1,202.26	$2,238.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,548.82 / $7,762.47	Facility		$741.31	$1,548.82	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,479.11 / $5,248.07	Professional		$741.31	$1,479.11	$5,248.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $302.00	Professional		$32.36	$33.11	$302.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $1,479.11	Facility		$1,096.48	$1,348.96	$1,479.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,000.00 / $1,778.28	Facility		$977.24	$1,000.00	$1,778.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $2,137.96	Professional		$1,000.00	$1,548.82	$2,137.96
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 $1,000.00 / $1,412.54 / $1,862.09	Professional		$1,000.00	$1,412.54	$1,862.09
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 $707.95 / $1,071.52 / $2,041.74	Professional		$707.95	$1,071.52	$2,041.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $776.25 / $1,288.25	Professional		$97.72	$776.25	$1,288.25