Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $16,218.10 / $23,988.33	Facility		$2,818.38	$16,218.10	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $4,365.16	Professional		$1,548.82	$2,137.96	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $870.96	Facility		$707.95	$758.58	$870.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $20,417.38 / $60,255.96	Facility		$12,302.69	$20,417.38	$60,255.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $18,620.87 / $26,915.35	Professional		$11,748.98	$18,620.87	$26,915.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $64.57	Professional		$33.11	$50.12	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,905.46 / $4,365.16	Facility		$1,202.26	$1,905.46	$4,365.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility		$2,951.21	$2,951.21	$2,951.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,466.84 / $6,165.95	Professional		$2,951.21	$4,466.84	$6,165.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $36,307.81 / $70,794.58	Facility		$28,183.83	$36,307.81	$70,794.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,981.07 / $5,495.41	Professional		$3,019.95	$3,981.07	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $38,018.94 / $72,443.60	Facility		$4,265.80	$38,018.94	$72,443.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,388.44 / $6,456.54	Professional		$1,737.80	$3,388.44	$6,456.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,398.83 / $3,981.07	Professional		$2,089.30	$2,398.83	$3,981.07