Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $8,912.51 / $20,892.96	Facility		$5,248.07	$8,912.51	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $4,897.79 / $10,000.00	Professional		$1,905.46	$4,897.79	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $7,413.10 / $12,022.64	Professional		$5,011.87	$7,413.10	$12,022.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $8,709.64 / $11,220.18	Facility		$5,128.61	$8,709.64	$11,220.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $8,709.64 / $11,220.18	Professional		$5,128.61	$8,709.64	$11,220.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,762.47 / $8,317.64	Facility		$4,168.69	$7,762.47	$8,317.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,623.41	Facility		$5,495.41	$5,495.41	$5,623.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $9,120.11 / $12,022.64	Professional		$5,623.41	$9,120.11	$12,022.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $7,943.28 / $10,715.19	Professional		$5,623.41	$7,943.28	$10,715.19
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 / $5,888.44 / $11,481.54	Professional		$2,290.87	$5,888.44	$11,481.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,128.61 / $7,244.36	Professional		$4,365.16	$5,128.61	$7,244.36