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 $1,122.02 / $1,479.11 / $2,089.30	Professional		$1,122.02	$1,479.11	$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 $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
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 $831.76 / $912.01 / $912.01	Facility		$831.76	$912.01	$912.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,187.76	Facility		$1,819.70	$1,819.70	$2,187.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,951.21 / $4,365.16	Professional		$1,819.70	$2,951.21	$4,365.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $3,467.37	Professional		$1,819.70	$2,511.89	$3,467.37
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 $1,230.27 / $2,570.40 / $3,630.78	Professional		$1,230.27	$2,570.40	$3,630.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,238.72	Professional		$1,047.13	$1,380.38	$2,238.72