Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $6,456.54 / $33,884.42	Facility		$776.25	$6,456.54	$33,884.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,698.24 / $4,570.88	Professional		$407.38	$1,698.24	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,620.87 / $18,620.87 / $18,620.87	Facility		$18,620.87	$18,620.87	$18,620.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,230.27 / $5,128.61	Professional		$501.19	$1,230.27	$5,128.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,630.78 / $19,952.62	Facility		$691.83	$3,630.78	$19,952.62
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $19,952.62 / $48,977.88 / $83,176.38	Facility	50	$19,952.62	$48,977.88	$83,176.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $3,019.95 / $6,025.60	Professional		$691.83	$3,019.95	$6,025.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $239.88	Professional		$32.36	$33.11	$239.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,162.28 / $3,890.45	Facility		$2,630.27	$3,162.28	$3,890.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,398.83	Facility		$2,290.87	$2,290.87	$2,398.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,258.93 / $4,265.80	Professional		$524.81	$1,258.93	$4,265.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $30,902.95 / $60,255.96	Facility		$20,417.38	$30,902.95	$60,255.96
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $30,902.95 / $46,773.51 / $89,125.09	Facility	50	$30,902.95	$46,773.51	$89,125.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,174.90 / $3,801.89	Professional		$524.81	$1,174.90	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $40,738.03 / $69,183.10	Facility		$4,677.35	$40,738.03	$69,183.10
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,584.89 / $4,365.16	Professional		$524.81	$1,584.89	$4,365.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $645.65 / $3,162.28	Professional		$389.05	$645.65	$3,162.28