Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,456.54 / $20,892.96	Facility		$1,737.80	$6,456.54	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $933.25 / $1,288.25	Professional		$223.87	$933.25	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $870.96	Facility		$707.95	$758.58	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $64.57	Professional		$44.67	$50.12	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $2,454.71	Facility		$1,202.26	$1,737.80	$2,454.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,778.28	Facility		$1,548.82	$1,548.82	$1,778.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,570.40 / $3,890.45	Professional		$1,778.28	$2,570.40	$3,890.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $2,884.03	Professional		$1,548.82	$2,089.30	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,318.26 / $5,754.40	Facility		$707.95	$1,318.26	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $3,311.31	Professional		$1,174.90	$1,778.28	$3,311.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,148.15 / $1,905.46	Professional		$1,000.00	$1,148.15	$1,905.46