Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,818.38 / $20,892.96	Facility		$1,819.70	$2,818.38	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $2,570.40	Professional		$912.01	$1,122.02	$2,570.40
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 $1,023.29 / $1,584.89 / $2,951.21	Professional		$1,023.29	$1,584.89	$2,951.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,819.70 / $2,511.89	Facility		$1,023.29	$1,819.70	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,584.89 / $2,511.89	Professional		$933.25	$1,584.89	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $436.52	Professional		$32.36	$33.11	$436.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,905.46 / $2,041.74	Facility		$1,659.59	$1,905.46	$2,041.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,380.38	Facility		$1,348.96	$1,348.96	$1,380.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $2,951.21	Professional		$1,380.38	$2,137.96	$2,951.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $2,511.89	Professional		$1,513.56	$1,905.46	$2,511.89
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 $977.24 / $1,412.54 / $2,511.89	Professional		$977.24	$1,412.54	$2,511.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,096.48 / $1,819.70	Professional		$954.99	$1,096.48	$1,819.70