Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $8,912.51 / $26,302.68	Facility		$3,162.28	$8,912.51	$26,302.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $4,570.88	Professional		$1,548.82	$2,089.30	$4,570.88
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 $1,698.24 / $2,754.23 / $5,128.61	Professional		$1,698.24	$2,754.23	$5,128.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,467.37 / $12,022.64	Facility		$1,737.80	$3,467.37	$12,022.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,388.44 / $8,128.31	Professional		$1,737.80	$3,388.44	$8,128.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $691.83	Professional		$32.36	$33.11	$691.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,311.31 / $3,467.37	Facility		$2,754.23	$3,311.31	$3,467.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,344.23	Facility		$2,290.87	$2,290.87	$2,344.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,630.78 / $4,897.79	Professional		$2,344.23	$3,630.78	$4,897.79
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 $2,344.23 / $3,235.94 / $4,365.16	Professional		$2,344.23	$3,235.94	$4,365.16
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 $1,737.80 / $2,570.40 / $4,677.35	Professional		$1,737.80	$2,570.40	$4,677.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,737.80 / $2,884.03	Professional		$1,513.56	$1,737.80	$2,884.03