Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,548.13 / $18,620.87	Facility		$691.83	$3,548.13	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $933.25	Professional		$354.81	$478.63	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Facility		$9,549.93	$9,549.93	$9,549.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $1,096.48	Professional		$478.63	$691.83	$1,096.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $933.25 / $23,988.33	Facility		$588.84	$933.25	$23,988.33
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $19,952.62 / $23,988.33 / $40,738.03	Facility	50	$19,952.62	$23,988.33	$40,738.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $9,332.54	Professional		$588.84	$851.14	$9,332.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $758.58	Facility		$616.60	$724.44	$758.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $851.14 / $1,096.48	Professional		$512.86	$851.14	$1,096.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $15,488.17 / $29,512.09	Facility		$10,715.19	$15,488.17	$29,512.09
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $15,848.93 / $23,442.29 / $44,668.36	Facility	50	$15,848.93	$23,442.29	$44,668.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $1,000.00	Professional		$524.81	$741.31	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $20,417.38 / $33,113.11	Facility		$4,677.35	$20,417.38	$33,113.11
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $1,047.13	Professional		$407.38	$616.60	$1,047.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $446.68 / $630.96	Professional		$380.19	$446.68	$630.96