Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $10,232.93 / $24,547.09	Facility		$1,949.84	$10,232.93	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,513.56 / $5,248.07	Professional		$912.01	$1,513.56	$5,248.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $1,862.09	Professional		$1,122.02	$1,479.11	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $6,918.31	Facility		$4,168.69	$4,168.69	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,949.84 / $3,162.28	Professional		$1,148.15	$1,949.84	$3,162.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,454.71 / $15,848.93	Facility		$1,348.96	$2,454.71	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,290.87 / $5,495.41	Professional		$1,318.26	$2,290.87	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $2,089.30	Facility		$1,584.89	$1,905.46	$2,089.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,344.23 / $3,019.95	Professional		$1,412.54	$2,344.23	$3,019.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $16,595.87 / $31,622.78	Facility		$10,964.78	$16,595.87	$31,622.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $2,691.53	Professional		$1,412.54	$1,995.26	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $20,417.38 / $35,481.34	Facility		$3,467.37	$20,417.38	$35,481.34
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,548.82 / $2,884.03	Professional		$954.99	$1,548.82	$2,884.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,778.28	Professional		$933.25	$1,258.93	$1,778.28