Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,677.35 / $18,620.87	Facility		$1,122.02	$4,677.35	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $1,584.89	Professional		$537.03	$676.08	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $5,754.40	Facility		$630.96	$758.58	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $977.24 / $1,819.70	Professional		$575.44	$977.24	$1,819.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,230.27 / $4,897.79	Facility		$588.84	$1,230.27	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,174.90 / $3,630.78	Professional		$588.84	$1,174.90	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $269.15	Professional		$32.36	$33.11	$269.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,122.02 / $1,202.26	Facility		$912.01	$1,122.02	$1,202.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $812.83 / $977.24	Facility		$794.33	$812.83	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,258.93 / $1,737.80	Professional		$812.83	$1,258.93	$1,737.80
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 $812.83 / $1,148.15 / $1,513.56	Professional		$812.83	$1,148.15	$1,513.56
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 / $870.96 / $1,621.81	Professional		$575.44	$870.96	$1,621.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $645.65 / $1,071.52	Professional		$562.34	$645.65	$1,071.52