Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,290.87 / $17,782.79	Facility		$1,148.15	$2,290.87	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $776.25 / $2,344.23	Professional		$537.03	$776.25	$2,344.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional	50	$2,137.96	$2,137.96	$2,137.96
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $691.83 / $691.83 / $691.83	Professional	54	$691.83	$691.83	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $1,174.90	Facility		$478.63	$478.63	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,023.29 / $2,041.74	Professional		$616.60	$1,023.29	$2,041.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $933.25 / $1,778.28	Facility		$630.96	$933.25	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $977.24 / $1,698.24	Professional		$645.65	$977.24	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $446.68	Professional		$32.36	$33.11	$446.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,380.38	Facility		$933.25	$1,288.25	$1,380.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $912.01 / $954.99	Facility		$630.96	$912.01	$954.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,412.54 / $1,778.28	Professional		$851.14	$1,412.54	$1,778.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $5,495.41	Facility		$2,187.76	$2,951.21	$5,495.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $1,862.09	Professional		$933.25	$1,318.26	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,467.37 / $6,918.31	Facility		$602.56	$3,467.37	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,778.28	Professional		$691.83	$954.99	$1,778.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $831.76 / $1,380.38	Professional		$181.97	$831.76	$1,380.38