Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $7,943.28 / $22,908.68	Facility		$3,715.35	$7,943.28	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $4,897.79	Professional		$1,659.59	$2,137.96	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $870.96	Facility		$707.95	$758.58	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,235.94 / $6,025.60	Professional		$1,778.28	$3,235.94	$6,025.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,801.89 / $36,307.81	Facility		$1,737.80	$3,801.89	$36,307.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,630.78 / $23,988.33	Professional		$1,737.80	$3,630.78	$23,988.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $128.82	Professional		$32.36	$33.11	$128.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,890.45 / $4,168.69	Facility		$3,162.28	$3,890.45	$4,168.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,818.38	Facility		$2,754.23	$2,754.23	$2,818.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,365.16 / $5,888.44	Professional		$2,818.38	$4,365.16	$5,888.44
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 $2,818.38 / $3,890.45 / $5,248.07	Professional		$2,818.38	$3,890.45	$5,248.07
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 $1,995.26 / $2,951.21 / $5,495.41	Professional		$1,995.26	$2,951.21	$5,495.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,238.72 / $3,715.35	Professional		$1,949.84	$2,238.72	$3,715.35