Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69,183.10 / $69,183.10 / $162,181.01	Facility		$69,183.10	$69,183.10	$162,181.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64,565.42 / $67,608.30 / $69,183.10	Professional		$64,565.42	$67,608.30	$69,183.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56,234.13 / $56,234.13 / $134,896.29	Facility		$56,234.13	$56,234.13	$134,896.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69,183.10 / $69,183.10 / $69,183.10	Professional		$69,183.10	$69,183.10	$69,183.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $15,848.93 / $33,884.42 / $301,995.17	Facility		$15,848.93	$33,884.42	$301,995.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $26,302.68 / $38,018.94	Professional		$11,748.98	$26,302.68	$38,018.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $85,113.80	Professional		$32.36	$64.57	$85,113.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40,738.03 / $58,884.37 / $58,884.37	Facility		$40,738.03	$58,884.37	$58,884.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51,286.14 / $75,857.76 / $181,970.09	Facility		$51,286.14	$75,857.76	$181,970.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $75,857.76 / $75,857.76 / $75,857.76	Professional		$75,857.76	$75,857.76	$75,857.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $66,069.34 / $79,432.82 / $190,546.07	Facility		$66,069.34	$79,432.82	$190,546.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77,624.71 / $77,624.71 / $77,624.71	Professional		$77,624.71	$77,624.71	$77,624.71
United Facility/Professional Facility Modifier Low / Median / High Price $56,234.13 / $56,234.13 / $56,234.13	Facility		$56,234.13	$56,234.13	$56,234.13
United Facility/Professional Professional Modifier Low / Median / High Price $67,608.30 / $67,608.30 / $67,608.30	Professional		$67,608.30	$67,608.30	$67,608.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17,378.01 / $18,197.01 / $100,000.00	Professional		$17,378.01	$18,197.01	$100,000.00