Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,187.76 / $20,892.96	Facility		$1,479.11	$2,187.76	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $1,949.84	Professional		$707.95	$870.96	$1,949.84
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 $645.65 / $1,230.27 / $2,344.23	Professional		$645.65	$1,230.27	$2,344.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,412.54 / $1,995.26	Facility		$741.31	$1,412.54	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,258.93 / $1,949.84	Professional		$724.44	$1,258.93	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $346.74	Professional		$32.36	$33.11	$346.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $1,584.89	Facility		$1,096.48	$1,479.11	$1,584.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $2,290.87	Professional		$1,071.52	$1,659.59	$2,290.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $1,995.26	Professional		$1,174.90	$1,513.56	$1,995.26
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 $741.31 / $1,071.52 / $1,995.26	Professional		$741.31	$1,071.52	$1,995.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $851.14 / $1,412.54	Professional		$741.31	$851.14	$1,412.54