Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $6,606.93 / $20,892.96	Facility		$3,467.37	$6,606.93	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,090.30 / $6,760.83	Professional		$2,344.23	$3,090.30	$6,760.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $870.96	Facility		$758.58	$758.58	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $4,365.16 / $8,317.64	Professional		$2,454.71	$4,365.16	$8,317.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,495.41 / $36,307.81	Facility		$2,511.89	$5,495.41	$36,307.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $5,248.07 / $23,988.33	Professional		$2,511.89	$5,248.07	$23,988.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,096.48	Professional		$32.36	$33.11	$1,096.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,248.07 / $5,495.41	Facility		$3,890.45	$5,248.07	$5,495.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,754.40 / $7,943.28	Professional		$3,715.35	$5,754.40	$7,943.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36,307.81 / $46,773.51 / $91,201.08	Facility		$36,307.81	$46,773.51	$91,201.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,248.07 / $6,918.31	Professional		$3,715.35	$5,248.07	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $51,286.14 / $100,000.00	Facility		$6,309.57	$51,286.14	$100,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,981.07 / $7,413.10	Professional		$2,454.71	$3,981.07	$7,413.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,818.38 / $4,677.35	Professional		$2,454.71	$2,818.38	$4,677.35