Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,467.37 / $17,782.79	Facility		$1,000.00	$3,467.37	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $1,445.44	Professional		$416.87	$562.34	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $3,630.78	Facility		$2,187.76	$2,187.76	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,047.13 / $1,659.59	Professional		$588.84	$1,047.13	$1,659.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,288.25 / $9,549.93	Facility		$676.08	$1,288.25	$9,549.93
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $8,511.38 / $12,589.25 / $26,915.35	Facility	50	$8,511.38	$12,589.25	$26,915.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,202.26 / $2,884.03	Professional		$645.65	$1,202.26	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $977.24 / $1,122.02	Facility		$707.95	$977.24	$1,122.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $758.58 / $758.58	Facility		$741.31	$758.58	$758.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,258.93 / $1,659.59	Professional		$758.58	$1,258.93	$1,659.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $10,715.19 / $20,892.96	Facility		$7,079.46	$10,715.19	$20,892.96
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,715.19 / $16,218.10 / $30,902.95	Facility	50	$10,715.19	$16,218.10	$30,902.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,445.44	Professional		$758.58	$1,047.13	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $13,489.63 / $23,442.29	Facility		$2,454.71	$13,489.63	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $1,548.82	Professional		$512.86	$776.25	$1,548.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $691.83 / $977.24	Professional		$512.86	$691.83	$977.24