Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $30,199.52 / $67,608.30	Facility		$6,309.57	$30,199.52	$67,608.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,370.32 / $8,511.38	Professional		$4,073.80	$5,370.32	$8,511.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $14,791.08 / $17,378.01	Facility		$7,079.46	$14,791.08	$17,378.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,760.83 / $30,902.95	Facility		$6,025.60	$6,760.83	$30,902.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,760.83 / $11,481.54	Professional		$5,370.32	$6,760.83	$11,481.54
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 $6,760.83 / $6,760.83 / $9,332.54	Facility		$6,760.83	$6,760.83	$9,332.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,748.98 / $20,417.38	Facility		$6,760.83	$11,748.98	$20,417.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $8,128.31	Professional		$6,025.60	$6,025.60	$8,128.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $10,000.00 / $18,620.87	Facility		$7,079.46	$10,000.00	$18,620.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $6,025.60 / $7,585.78	Professional		$5,754.40	$6,025.60	$7,585.78
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $8,128.31 / $8,128.31	Facility		$6,760.83	$8,128.31	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $7,585.78	Professional		$2,818.38	$2,818.38	$7,585.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $6,760.83 / $12,022.64	Professional		$3,019.95	$6,760.83	$12,022.64