Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,466.84 / $18,620.87	Facility		$1,148.15	$4,466.84	$18,620.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,365.16 / $9,772.37 / $13,803.84	Facility	50	$4,365.16	$9,772.37	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $3,235.94	Professional		$549.54	$794.33	$3,235.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $741.31 / $1,071.52 / $5,495.41	Professional	50	$741.31	$1,071.52	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $2,454.71	Facility		$912.01	$912.01	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,071.52 / $1,995.26	Professional		$660.69	$1,071.52	$1,995.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,258.93 / $2,344.23	Facility		$758.58	$1,258.93	$2,344.23
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $5,754.40 / $9,332.54 / $16,595.87	Facility	50	$5,754.40	$9,332.54	$16,595.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,258.93 / $1,949.84	Professional		$758.58	$1,258.93	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $478.63	Professional		$32.36	$33.11	$478.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,479.11	Facility		$1,023.29	$1,380.38	$1,479.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $977.24 / $1,000.00	Facility		$933.25	$977.24	$1,000.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,412.54 / $1,905.46	Professional		$831.76	$1,412.54	$1,905.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,606.93 / $12,589.25	Facility		$4,365.16	$6,606.93	$12,589.25
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $6,606.93 / $10,000.00 / $19,054.61	Facility	50	$6,606.93	$10,000.00	$19,054.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $1,905.46	Professional		$1,000.00	$1,380.38	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $7,413.10 / $13,489.63	Facility		$1,380.38	$7,413.10	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,862.09	Professional		$707.95	$1,000.00	$1,862.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $891.25 / $1,445.44	Professional		$97.72	$891.25	$1,445.44