Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $7,943.28 / $20,892.96	Facility		$2,818.38	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $5,370.32	Professional		$1,479.11	$2,041.74	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $39,810.72	Facility		$1,000.00	$1,230.27	$39,810.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,691.53 / $5,128.61	Professional		$1,548.82	$2,691.53	$5,128.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,467.37 / $42,657.95	Facility		$1,778.28	$3,467.37	$42,657.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,311.31 / $33,884.42	Professional		$1,698.24	$3,311.31	$33,884.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $707.95	Professional		$32.36	$33.11	$707.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $3,388.44	Facility		$2,398.83	$3,162.28	$3,388.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,290.87 / $8,912.51	Facility		$2,137.96	$2,290.87	$8,912.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,548.13 / $4,677.35	Professional		$2,290.87	$3,548.13	$4,677.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38,904.51 / $52,480.75 / $100,000.00	Facility		$38,904.51	$52,480.75	$100,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $4,265.80	Professional		$2,187.76	$3,162.28	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $79,432.82 / $154,881.66	Facility		$3,467.37	$79,432.82	$154,881.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,454.71 / $4,466.84	Professional		$1,659.59	$2,454.71	$4,466.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,698.24 / $2,818.38	Professional		$1,479.11	$1,698.24	$2,818.38