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 $1,318.26 / $1,905.46 / $2,238.72	Professional		$1,318.26	$1,905.46	$2,238.72
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 $7,943.28 / $7,943.28 / $7,943.28	Professional		$7,943.28	$7,943.28	$7,943.28
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 $1,737.80 / $2,187.76 / $2,454.71	Facility		$1,737.80	$2,187.76	$2,454.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $3,019.95	Facility		$2,570.40	$2,570.40	$3,019.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,466.84 / $6,456.54	Professional		$3,019.95	$4,466.84	$6,456.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,073.80 / $5,888.44	Professional		$2,630.27	$4,073.80	$5,888.44
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 $2,290.87 / $2,818.38 / $6,309.57	Professional		$2,290.87	$2,818.38	$6,309.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,818.38 / $4,677.35	Professional		$2,041.74	$2,818.38	$4,677.35