Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $13,182.57 / $21,877.62	Facility		$4,466.84	$13,182.57	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $8,912.51 / $10,964.78	Professional		$2,137.96	$8,912.51	$10,964.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $50,118.72 / $50,118.72	Facility		$50,118.72	$50,118.72	$50,118.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16,218.10 / $79,432.82 / $134,896.29	Facility		$16,218.10	$79,432.82	$134,896.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $12,882.50 / $35,481.34	Facility		$2,290.87	$12,882.50	$35,481.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $12,882.50	Facility		$5,754.40	$5,754.40	$12,882.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $7,943.28 / $22,908.68	Professional		$3,467.37	$7,943.28	$22,908.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52,480.75 / $81,283.05 / $154,881.66	Facility		$52,480.75	$81,283.05	$154,881.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,715.35 / $13,182.57	Professional		$2,398.83	$3,715.35	$13,182.57
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $154,881.66 / $263,026.80	Facility		$8,511.38	$154,881.66	$263,026.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $12,882.50 / $19,952.62	Professional		$1,737.80	$12,882.50	$19,952.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,318.26	Professional		$794.33	$933.25	$1,318.26