Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $2,754.23 / $18,620.87	Facility		$151.36	$2,754.23	$18,620.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility	50	$2,630.27	$2,630.27	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $208.93 / $602.56	Professional		$75.86	$208.93	$602.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $302.00 / $912.01	Professional	50	$114.82	$302.00	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $1,047.13	Facility		$707.95	$870.96	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $223.87 / $616.60	Professional		$95.50	$223.87	$616.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $245.47 / $691.83	Facility		$93.33	$245.47	$691.83
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $1,737.80 / $2,884.03 / $5,011.87	Facility	50	$1,737.80	$2,884.03	$5,011.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $229.09 / $588.84	Professional		$93.33	$229.09	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $446.68 / $457.09	Facility		$295.12	$446.68	$457.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $316.23	Facility		$309.03	$309.03	$316.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $269.15 / $562.34	Professional		$114.82	$269.15	$562.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $3,715.35	Facility		$1,445.44	$1,949.84	$3,715.35
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,187.76 / $2,951.21 / $5,623.41	Facility	50	$2,187.76	$2,951.21	$5,623.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $239.88 / $524.81	Professional		$109.65	$239.88	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,454.71 / $4,786.30	Facility		$891.25	$2,454.71	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $234.42 / $501.19	Professional		$100.00	$234.42	$501.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $138.04 / $354.81	Professional		$72.44	$138.04	$354.81