Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,818.38 / $20,892.96	Facility		$2,041.74	$2,818.38	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $2,951.21	Professional		$1,023.29	$1,230.27	$2,951.21
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 $870.96 / $1,737.80 / $3,311.31	Professional		$870.96	$1,737.80	$3,311.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,995.26 / $2,818.38	Facility		$1,096.48	$1,995.26	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,778.28 / $2,754.23	Professional		$1,023.29	$1,778.28	$2,754.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $489.78	Professional		$32.36	$33.11	$489.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $2,187.76	Facility		$1,778.28	$2,089.30	$2,187.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,513.56	Facility		$1,479.11	$1,479.11	$1,513.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $3,235.94	Professional		$1,513.56	$2,344.23	$3,235.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $2,754.23	Professional		$1,659.59	$2,089.30	$2,754.23
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 $1,023.29 / $1,548.82 / $2,754.23	Professional		$1,023.29	$1,548.82	$2,754.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,096.48 / $1,778.28	Professional		$954.99	$1,096.48	$1,778.28