Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $7,413.10	Professional		$870.96	$1,047.13	$7,413.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,479.11	Professional		$954.99	$1,122.02	$1,479.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,778.28 / $1,949.84	Professional		$1,621.81	$1,778.28	$1,949.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,698.24 / $1,862.09	Facility		$1,659.59	$1,698.24	$1,862.09
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,778.28	Professional		$1,698.24	$1,698.24	$1,778.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $1,513.56 / $2,290.87	Facility		$141.25	$1,513.56	$2,290.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $1,513.56	Professional		$141.25	$194.98	$1,513.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $154.88	Professional		$125.89	$154.88	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $588.84 / $1,288.25	Facility		$9.77	$588.84	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $851.14 / $1,659.59	Professional		$741.31	$851.14	$1,659.59