Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $10,232.93 / $28,183.83	Facility		$2,187.76	$10,232.93	$28,183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $6,025.60	Professional		$1,380.38	$2,137.96	$6,025.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26,302.68 / $26,302.68 / $26,302.68	Professional		$26,302.68	$26,302.68	$26,302.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $64.57	Professional		$32.36	$50.12	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $6,309.57 / $7,762.47	Facility		$3,801.89	$6,309.57	$7,762.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,162.28	Facility		$2,754.23	$2,754.23	$3,162.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,897.79 / $23,988.33	Professional		$2,754.23	$4,897.79	$23,988.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $9,332.54 / $16,595.87	Professional		$2,951.21	$9,332.54	$16,595.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,311.31 / $37,153.52	Facility		$1,122.02	$3,311.31	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $7,762.47	Professional		$1,288.25	$2,137.96	$7,762.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02