Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $44,668.36 / $85,113.80	Facility		$11,481.54	$44,668.36	$85,113.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $6,025.60 / $10,715.19	Professional		$5,128.61	$6,025.60	$10,715.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $18,620.87 / $21,877.62	Facility		$8,709.64	$18,620.87	$21,877.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $8,511.38 / $38,904.51	Facility		$7,585.78	$8,511.38	$38,904.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $8,511.38 / $14,454.40	Professional		$6,760.83	$8,511.38	$14,454.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $11,748.98	Facility		$8,511.38	$8,511.38	$11,748.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $14,791.08 / $25,118.86	Facility		$8,511.38	$14,791.08	$25,118.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $10,232.93	Professional		$7,585.78	$7,585.78	$10,232.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $12,589.25 / $22,387.21	Facility		$8,912.51	$12,589.25	$22,387.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,585.78 / $9,549.93	Professional		$7,244.36	$7,585.78	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $10,232.93 / $10,232.93	Facility		$8,511.38	$10,232.93	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $8,511.38	Professional		$1,548.82	$2,187.76	$8,511.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $8,511.38 / $15,135.61	Professional		$3,801.89	$8,511.38	$15,135.61