Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,290.87 / $20,892.96	Facility		$1,445.44	$2,290.87	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $2,041.74	Professional		$724.44	$933.25	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,445.44 / $2,290.87	Professional		$933.25	$1,445.44	$2,290.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,584.89 / $1,949.84	Facility		$954.99	$1,584.89	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,621.81 / $1,995.26	Professional		$977.24	$1,621.81	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $1,548.82	Facility		$1,258.93	$1,513.56	$1,548.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,047.13	Facility		$1,023.29	$1,023.29	$1,047.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $2,238.72	Professional		$1,047.13	$1,737.80	$2,238.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $1,995.26	Professional		$1,047.13	$1,479.11	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,981.07 / $7,244.36	Facility		$2,454.71	$3,981.07	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,258.93 / $2,187.76	Professional		$776.25	$1,258.93	$2,187.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,318.26	Professional		$691.83	$933.25	$1,318.26