Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $9,549.93 / $21,877.62	Facility		$2,818.38	$9,549.93	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $2,089.30	Professional		$1,148.15	$1,513.56	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,620.87 / $19,498.45 / $37,153.52	Facility		$18,620.87	$19,498.45	$37,153.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $60.26	Professional		$44.67	$50.12	$60.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $2,951.21	Facility		$2,089.30	$2,818.38	$2,951.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,187.76	Facility		$2,041.74	$2,041.74	$2,187.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,311.31 / $4,466.84	Professional		$2,041.74	$3,311.31	$4,466.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,951.21 / $4,073.80	Professional		$2,041.74	$2,951.21	$4,073.80
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 $1,778.28 / $2,818.38 / $4,265.80	Professional		$1,778.28	$2,818.38	$4,265.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80