Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $11,748.98 / $21,877.62	Facility		$3,388.44	$11,748.98	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $4,365.16 / $7,585.78	Professional		$616.60	$4,365.16	$7,585.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $48,977.88 / $83,176.38	Facility		$10,232.93	$48,977.88	$83,176.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33,113.11 / $33,113.11 / $33,113.11	Professional		$33,113.11	$33,113.11	$33,113.11
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 $457.09 / $5,888.44 / $10,232.93	Facility		$457.09	$5,888.44	$10,232.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $9,772.37	Facility		$7,244.36	$7,244.36	$9,772.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $13,182.57 / $22,387.21	Professional		$9,332.54	$13,182.57	$22,387.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,387.21 / $30,902.95 / $60,255.96	Facility		$22,387.21	$30,902.95	$60,255.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $16,595.87 / $23,988.33	Professional		$7,413.10	$16,595.87	$23,988.33
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $40,738.03 / $69,183.10	Facility		$8,511.38	$40,738.03	$69,183.10
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,348.96 / $28,840.32	Professional		$549.54	$1,348.96	$28,840.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,122.02 / $20,892.96	Professional		$676.08	$1,122.02	$20,892.96