Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $7,943.28 / $20,892.96	Facility		$1,698.24	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $2,691.53	Professional		$851.14	$1,096.48	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $2,691.53	Professional		$1,096.48	$1,698.24	$2,691.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $2,290.87	Facility		$1,096.48	$1,862.09	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,905.46 / $2,290.87	Professional		$1,122.02	$1,905.46	$2,290.87
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 $1,479.11 / $1,737.80 / $1,819.70	Facility		$1,479.11	$1,737.80	$1,819.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,230.27	Facility		$1,202.26	$1,202.26	$1,230.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,041.74 / $2,630.27	Professional		$1,230.27	$2,041.74	$2,630.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $2,290.87	Professional		$1,230.27	$1,737.80	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,454.71 / $37,153.52	Facility		$707.95	$2,454.71	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,445.44 / $2,570.40	Professional		$912.01	$1,445.44	$2,570.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,548.82	Professional		$812.83	$1,096.48	$1,548.82