Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $6,025.60 / $18,620.87	Facility		$1,445.44	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $1,949.84	Professional		$676.08	$870.96	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $13,489.63	Facility		$630.96	$758.58	$13,489.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,258.93 / $2,344.23	Professional		$724.44	$1,258.93	$2,344.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,584.89 / $12,022.64	Facility		$812.83	$1,584.89	$12,022.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,513.56 / $8,511.38	Professional		$724.44	$1,513.56	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $346.74	Professional		$32.36	$33.11	$346.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $1,548.82	Facility		$1,047.13	$1,445.44	$1,548.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,047.13 / $3,019.95	Facility		$1,023.29	$1,047.13	$3,019.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $2,238.72	Professional		$1,047.13	$1,621.81	$2,238.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $20,417.38 / $38,904.51	Facility		$13,803.84	$20,417.38	$38,904.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $1,949.84	Professional		$1,047.13	$1,479.11	$1,949.84
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 $724.44 / $1,096.48 / $2,041.74	Professional		$724.44	$1,096.48	$2,041.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $831.76 / $1,380.38	Professional		$724.44	$831.76	$1,380.38