Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $7,943.28 / $22,908.68	Facility		$3,388.44	$7,943.28	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $4,677.35	Professional		$1,659.59	$2,089.30	$4,677.35
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 $1,778.28 / $2,951.21 / $5,495.41	Professional		$1,778.28	$2,951.21	$5,495.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,715.35 / $35,481.34	Facility		$1,905.46	$3,715.35	$35,481.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,630.78 / $23,442.29	Professional		$1,862.09	$3,630.78	$23,442.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $114.82	Professional		$32.36	$33.11	$114.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,467.37 / $3,715.35	Facility		$2,754.23	$3,467.37	$3,715.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,511.89	Facility		$2,454.71	$2,454.71	$2,511.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,890.45 / $5,248.07	Professional		$2,511.89	$3,890.45	$5,248.07
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 $2,511.89 / $3,467.37 / $4,677.35	Professional		$2,511.89	$3,467.37	$4,677.35
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 $1,862.09 / $2,754.23 / $5,011.87	Professional		$1,862.09	$2,754.23	$5,011.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,995.26 / $3,311.31	Professional		$1,737.80	$1,995.26	$3,311.31