Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $11,748.98	Professional		$6,456.54	$6,456.54	$11,748.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $4,365.16 / $5,128.61	Professional		$954.99	$4,365.16	$5,128.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Facility		$8,317.64	$8,317.64	$8,317.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Professional		$8,317.64	$8,317.64	$8,317.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $7,413.10 / $9,120.11	Professional		$6,309.57	$7,413.10	$9,120.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Professional		$7,244.36	$7,244.36	$7,244.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,122.02 / $11,220.18	Facility		$1,071.52	$1,122.02	$11,220.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $11,220.18	Professional		$1,071.52	$1,479.11	$11,220.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,047.13	Professional		$870.96	$1,047.13	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $851.14 / $5,623.41	Facility		$57.54	$851.14	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,630.78 / $6,918.31	Professional		$3,311.31	$3,630.78	$6,918.31