Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $7,943.28 / $20,892.96	Facility		$1,905.46	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $2,570.40	Professional		$912.01	$1,047.13	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $6,760.83	Facility		$4,073.80	$4,073.80	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,905.46 / $3,019.95	Professional		$1,230.27	$1,905.46	$3,019.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,398.83 / $15,488.17	Facility		$1,348.96	$2,398.83	$15,488.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,238.72 / $5,495.41	Professional		$1,288.25	$2,238.72	$5,495.41
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 $1,584.89 / $1,949.84 / $2,089.30	Facility		$1,584.89	$1,949.84	$2,089.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,412.54 / $1,412.54	Facility		$1,380.38	$1,412.54	$1,412.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,344.23 / $3,019.95	Professional		$1,412.54	$2,344.23	$3,019.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $16,218.10 / $31,622.78	Facility		$10,715.19	$16,218.10	$31,622.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $2,630.27	Professional		$1,412.54	$1,995.26	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $20,892.96 / $36,307.81	Facility		$4,265.80	$20,892.96	$36,307.81
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,621.81 / $2,951.21	Professional		$1,000.00	$1,621.81	$2,951.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,819.70	Professional		$954.99	$1,288.25	$1,819.70