Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $33,884.42 / $75,857.76	Facility		$7,079.46	$33,884.42	$75,857.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $6,025.60 / $7,413.10	Professional		$2,691.53	$6,025.60	$7,413.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $16,982.44 / $19,498.45	Facility		$7,943.28	$16,982.44	$19,498.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $7,585.78 / $35,481.34	Facility		$6,760.83	$7,585.78	$35,481.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $7,585.78 / $12,882.50	Professional		$6,025.60	$7,585.78	$12,882.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $75.86	Professional		$44.67	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $8,317.64 / $13,182.57	Facility		$6,760.83	$8,317.64	$13,182.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $13,182.57 / $22,908.68	Facility		$7,585.78	$13,182.57	$22,908.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $9,120.11	Professional		$6,760.83	$6,760.83	$9,120.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $11,481.54 / $19,952.62	Facility		$7,943.28	$11,481.54	$19,952.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,760.83 / $8,511.38	Professional		$6,456.54	$6,760.83	$8,511.38
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $9,120.11 / $9,120.11	Facility		$7,585.78	$9,120.11	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $8,511.38	Professional		$3,162.28	$3,162.28	$8,511.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $7,585.78 / $13,803.84	Professional		$3,388.44	$7,585.78	$13,803.84