Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $17,782.79 / $28,183.83	Facility		$3,162.28	$17,782.79	$28,183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $6,918.31 / $10,000.00	Professional		$831.76	$6,918.31	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27,542.29 / $27,542.29 / $27,542.29	Facility		$27,542.29	$27,542.29	$27,542.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16,218.10 / $51,286.14 / $81,283.05	Facility		$16,218.10	$51,286.14	$81,283.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16,218.10 / $28,840.32 / $39,810.72	Professional		$16,218.10	$28,840.32	$39,810.72
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 $645.65 / $10,964.78 / $18,620.87	Facility		$645.65	$10,964.78	$18,620.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $11,481.54 / $13,489.63	Facility		$11,481.54	$11,481.54	$13,489.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13,489.63 / $19,952.62 / $24,547.09	Professional		$13,489.63	$19,952.62	$24,547.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $35,481.34 / $50,118.72 / $95,499.26	Facility		$35,481.34	$50,118.72	$95,499.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $19,054.61 / $27,542.29	Professional		$11,748.98	$19,054.61	$27,542.29
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $64,565.42 / $109,647.82	Facility		$8,511.38	$64,565.42	$109,647.82
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,412.54 / $30,902.95	Professional		$794.33	$1,412.54	$30,902.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,412.54 / $22,908.68	Professional		$851.14	$1,412.54	$22,908.68