Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,818.38 / $18,620.87	Facility		$891.25	$2,818.38	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,621.81	Professional		$446.68	$660.69	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $3,311.31	Facility		$1,995.26	$1,995.26	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,122.02 / $1,819.70	Professional		$630.96	$1,122.02	$1,819.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,230.27 / $3,801.89	Facility		$660.69	$1,230.27	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,174.90 / $2,041.74	Professional		$660.69	$1,174.90	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,202.26 / $1,318.26	Facility		$831.76	$1,202.26	$1,318.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $891.25 / $891.25	Facility		$870.96	$891.25	$891.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,174.90 / $1,659.59	Professional		$676.08	$1,174.90	$1,659.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $9,120.11 / $17,378.01	Facility		$5,888.44	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,023.29 / $1,513.56	Professional		$691.83	$1,023.29	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $11,481.54 / $19,952.62	Facility		$1,995.26	$11,481.54	$19,952.62
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $912.01 / $1,698.24	Professional		$602.56	$912.01	$1,698.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $954.99	Professional		$436.52	$676.08	$954.99