Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $12,882.50 / $23,988.33	Facility		$3,388.44	$12,882.50	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,096.48 / $3,801.89	Professional		$588.84	$1,096.48	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $17,378.01 / $30,199.52	Facility		$10,471.29	$17,378.01	$30,199.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $75.86	Professional		$50.12	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $3,801.89	Facility		$1,862.09	$2,187.76	$3,801.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $11,748.98 / $21,877.62	Facility		$9,120.11	$11,748.98	$21,877.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $12,882.50 / $23,442.29	Facility		$2,398.83	$12,882.50	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,548.82 / $1,819.70	Professional		$1,513.56	$1,548.82	$1,819.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,778.28	Professional		$1,071.52	$1,258.93	$1,778.28