Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,737.80 / $17,782.79	Facility		$281.84	$1,737.80	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $776.25	Professional		$141.25	$234.42	$776.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional	50	$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $478.63	Facility		$380.19	$380.19	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $309.03 / $630.96	Professional		$177.83	$309.03	$630.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $316.23 / $616.60	Facility		$181.97	$316.23	$616.60
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 $181.97 / $316.23 / $575.44	Professional		$181.97	$316.23	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $144.54	Professional		$32.36	$33.11	$144.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $426.58 / $478.63	Facility		$309.03	$426.58	$478.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $316.23 / $323.59	Facility		$186.21	$316.23	$323.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $371.54 / $588.84	Professional		$208.93	$371.54	$588.84
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 $269.15 / $371.54 / $602.56	Professional		$269.15	$371.54	$602.56
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 $186.21 / $295.12 / $575.44	Professional		$186.21	$295.12	$575.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $251.19 / $467.74	Professional		$30.90	$251.19	$467.74