Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $6,025.60 / $18,620.87	Facility		$1,819.70	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $2,570.40	Professional		$851.14	$1,122.02	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $676.08 / $8,709.64	Facility		$630.96	$676.08	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,548.82 / $2,951.21	Professional		$870.96	$1,548.82	$2,951.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,949.84 / $9,332.54	Facility		$954.99	$1,949.84	$9,332.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,862.09 / $7,244.36	Professional		$954.99	$1,862.09	$7,244.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $426.58	Professional		$32.36	$33.11	$426.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $1,949.84	Facility		$1,445.44	$1,862.09	$1,949.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,318.26 / $1,819.70	Facility		$1,288.25	$1,318.26	$1,819.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,041.74 / $2,818.38	Professional		$1,318.26	$2,041.74	$2,818.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $19,054.61 / $36,307.81	Facility		$12,882.50	$19,054.61	$36,307.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $2,454.71	Professional		$1,318.26	$1,862.09	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $25,703.96 / $50,118.72	Facility		$3,467.37	$25,703.96	$50,118.72
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,412.54 / $2,630.27	Professional		$954.99	$1,412.54	$2,630.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $1,698.24	Professional		$891.25	$1,023.29	$1,698.24