Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,818.38 / $17,782.79	Facility		$524.81	$2,818.38	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $588.84 / $1,380.38	Professional		$263.03	$588.84	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $707.95 / $1,698.24	Professional		$407.38	$707.95	$1,698.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $831.76 / $4,466.84	Facility		$407.38	$831.76	$4,466.84
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $6,606.93 / $12,882.50 / $25,118.86	Facility	50	$6,606.93	$12,882.50	$25,118.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $707.95 / $1,949.84	Professional		$416.87	$707.95	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $114.82	Professional		$32.36	$33.11	$114.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,122.02 / $1,202.26	Facility		$741.31	$1,122.02	$1,202.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $776.25 / $1,584.89	Professional		$354.81	$776.25	$1,584.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $9,772.37 / $19,054.61	Facility		$6,606.93	$9,772.37	$19,054.61
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,000.00 / $14,791.08 / $28,183.83	Facility	50	$10,000.00	$14,791.08	$28,183.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $741.31 / $1,479.11	Professional		$398.11	$741.31	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $12,302.69 / $20,892.96	Facility		$1,995.26	$12,302.69	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $676.08 / $1,584.89	Professional		$338.84	$676.08	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $436.52 / $851.14	Professional		$229.09	$436.52	$851.14