Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $20,892.96	Facility		$1,202.26	$1,778.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $1,698.24	Professional		$575.44	$707.95	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $954.99	Facility		$501.19	$707.95	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,023.29 / $1,949.84	Professional		$549.54	$1,023.29	$1,949.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,174.90 / $1,621.81	Facility		$616.60	$1,174.90	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,047.13 / $1,621.81	Professional		$588.84	$1,047.13	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $288.40	Professional		$32.36	$33.11	$288.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,288.25	Facility		$1,023.29	$1,202.26	$1,288.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $870.96	Facility		$851.14	$851.14	$870.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,348.96 / $1,862.09	Professional		$870.96	$1,348.96	$1,862.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $1,584.89	Professional		$954.99	$1,230.27	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,258.93 / $5,754.40	Facility		$707.95	$1,258.93	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $1,584.89	Professional		$588.84	$891.25	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $645.65 / $1,071.52	Professional		$562.34	$645.65	$1,071.52