Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $20,892.96	Facility		$1,479.11	$2,137.96	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $2,089.30	Professional		$691.83	$891.25	$2,089.30
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 $758.58 / $1,258.93 / $2,344.23	Professional		$758.58	$1,258.93	$2,344.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,584.89 / $9,549.93	Facility		$758.58	$1,584.89	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,548.82 / $6,309.57	Professional		$758.58	$1,548.82	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $323.59	Professional		$32.36	$33.11	$323.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,479.11 / $1,584.89	Facility		$1,202.26	$1,479.11	$1,584.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,071.52	Facility		$1,047.13	$1,047.13	$1,071.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $2,238.72	Professional		$1,071.52	$1,659.59	$2,238.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $18,620.87 / $35,481.34	Facility		$14,125.38	$18,620.87	$35,481.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $1,995.26	Professional		$1,071.52	$1,479.11	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $21,379.62 / $41,686.94	Facility		$4,265.80	$21,379.62	$41,686.94
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $2,137.96	Professional		$776.25	$1,148.15	$2,137.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $831.76 / $1,380.38	Professional		$724.44	$831.76	$1,380.38