Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,818.38 / $20,892.96	Facility		$1,412.54	$2,818.38	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $954.99 / $2,041.74	Professional		$676.08	$954.99	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,380.38 / $2,238.72	Professional		$891.25	$1,380.38	$2,238.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,737.80 / $9,549.93	Facility		$977.24	$1,737.80	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,659.59 / $3,090.30	Professional		$933.25	$1,659.59	$3,090.30
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 $1,230.27 / $1,445.44 / $1,479.11	Facility		$1,230.27	$1,445.44	$1,479.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,023.29	Facility		$977.24	$977.24	$1,023.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,659.59 / $2,187.76	Professional		$1,023.29	$1,659.59	$2,187.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $9,772.37 / $19,054.61	Facility		$7,244.36	$9,772.37	$19,054.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $1,905.46	Professional		$1,000.00	$1,412.54	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $12,302.69 / $20,892.96	Facility		$2,454.71	$12,302.69	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,202.26 / $2,137.96	Professional		$741.31	$1,202.26	$2,137.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,288.25	Professional		$676.08	$912.01	$1,288.25