Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $6,025.60 / $18,620.87	Facility		$1,000.00	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $1,412.54	Professional		$457.09	$616.60	$1,412.54
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 $562.34 / $1,000.00 / $1,584.89	Professional		$562.34	$1,000.00	$1,584.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,258.93 / $15,848.93	Facility		$660.69	$1,258.93	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,148.15 / $5,495.41	Professional		$660.69	$1,148.15	$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 $707.95 / $954.99 / $1,047.13	Facility		$707.95	$954.99	$1,047.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,202.26 / $1,513.56	Professional		$707.95	$1,202.26	$1,513.56
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 $724.44 / $1,000.00 / $1,348.96	Professional		$724.44	$1,000.00	$1,348.96
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 $478.63 / $758.58 / $1,445.44	Professional		$478.63	$758.58	$1,445.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $933.25	Professional		$489.78	$660.69	$933.25