Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,778.28 / $18,620.87	Facility		$645.65	$1,778.28	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $1,174.90	Professional		$323.59	$501.19	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $2,454.71	Facility		$741.31	$741.31	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $645.65 / $1,318.26	Professional		$371.54	$645.65	$1,318.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $812.83 / $2,290.87	Facility		$398.11	$812.83	$2,290.87
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 $398.11 / $794.33 / $1,380.38	Professional		$398.11	$794.33	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $316.23	Professional		$32.36	$33.11	$316.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $891.25 / $977.24	Facility		$602.56	$891.25	$977.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $676.08 / $741.31	Facility		$660.69	$676.08	$741.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $812.83 / $1,230.27	Professional		$467.74	$812.83	$1,230.27
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 $602.56 / $851.14 / $1,258.93	Professional		$602.56	$851.14	$1,258.93
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 $371.54 / $616.60 / $1,202.26	Professional		$371.54	$616.60	$1,202.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $562.34 / $954.99	Professional		$64.57	$562.34	$954.99