Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $6,025.60 / $18,620.87	Facility		$1,096.48	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $1,513.56	Professional		$512.86	$660.69	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $4,466.84	Facility		$630.96	$758.58	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $954.99 / $1,778.28	Professional		$549.54	$954.99	$1,778.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,174.90 / $5,623.41	Facility		$602.56	$1,174.90	$5,623.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,122.02 / $3,715.35	Professional		$549.54	$1,122.02	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $263.03	Professional		$32.36	$33.11	$263.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,174.90	Facility		$851.14	$1,071.52	$1,174.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $794.33 / $977.24	Facility		$776.25	$794.33	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,230.27 / $1,659.59	Professional		$794.33	$1,230.27	$1,659.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $9,120.11 / $17,378.01	Facility		$6,760.83	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,479.11	Professional		$794.33	$1,096.48	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $11,220.18 / $18,620.87	Facility		$2,454.71	$11,220.18	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $1,548.82	Professional		$575.44	$831.76	$1,548.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $630.96 / $1,047.13	Professional		$549.54	$630.96	$1,047.13