Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $7,943.28 / $20,892.96	Facility		$1,548.82	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $2,187.76	Professional		$724.44	$933.25	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,230.27 / $41,686.94	Facility		$758.58	$1,230.27	$41,686.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,318.26 / $2,511.89	Professional		$794.33	$1,318.26	$2,511.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,659.59 / $31,622.78	Facility		$831.76	$1,659.59	$31,622.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,548.82 / $24,547.09	Professional		$812.83	$1,548.82	$24,547.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $371.54	Professional		$32.36	$33.11	$371.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $1,659.59	Facility		$1,258.93	$1,548.82	$1,659.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,122.02 / $9,549.93	Facility		$1,096.48	$1,122.02	$9,549.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $2,344.23	Professional		$1,122.02	$1,737.80	$2,344.23
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 $1,122.02 / $1,548.82 / $2,089.30	Professional		$1,122.02	$1,548.82	$2,089.30
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 $794.33 / $1,202.26 / $2,238.72	Professional		$794.33	$1,202.26	$2,238.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $851.14 / $1,412.54	Professional		$741.31	$851.14	$1,412.54