Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43,651.58 / $75,857.76 / $89,125.09	Facility		$43,651.58	$75,857.76	$89,125.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $61,659.50	Professional		$43,651.58	$43,651.58	$61,659.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40,738.03 / $40,738.03 / $91,201.08	Facility		$40,738.03	$40,738.03	$91,201.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $52,480.75	Professional		$43,651.58	$43,651.58	$52,480.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23,988.33 / $43,651.58 / $100,000.00	Facility		$23,988.33	$43,651.58	$100,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22,908.68 / $43,651.58 / $66,069.34	Professional		$22,908.68	$43,651.58	$66,069.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $47,863.01 / $58,884.37	Professional		$70.79	$47,863.01	$58,884.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44,668.36 / $44,668.36 / $67,608.30	Facility		$44,668.36	$44,668.36	$67,608.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40,738.03 / $51,286.14 / $125,892.54	Facility		$40,738.03	$51,286.14	$125,892.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $47,863.01 / $47,863.01 / $57,543.99	Professional		$47,863.01	$47,863.01	$57,543.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44,668.36 / $52,480.75 / $128,824.96	Facility		$44,668.36	$52,480.75	$128,824.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43,651.58 / $47,863.01 / $47,863.01	Professional		$43,651.58	$47,863.01	$47,863.01
United Facility/Professional Facility Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $43,651.58	Facility		$43,651.58	$43,651.58	$43,651.58
United Facility/Professional Professional Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $47,863.01	Professional		$43,651.58	$43,651.58	$47,863.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $56,234.13	Professional		$43,651.58	$43,651.58	$56,234.13