Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $13,182.57 / $32,359.37	Facility		$1,023.29	$13,182.57	$32,359.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $7,244.36 / $19,498.45	Professional		$562.34	$7,244.36	$19,498.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $831.76	Professional		$416.87	$416.87	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $15,488.17 / $15,488.17	Facility		$15,488.17	$15,488.17	$15,488.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,778.28 / $25,703.96	Professional		$707.95	$1,778.28	$25,703.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $11,481.54 / $46,773.51	Facility		$1,000.00	$11,481.54	$46,773.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $8,709.64 / $22,908.68	Professional		$1,000.00	$8,709.64	$22,908.68
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 $13,182.57 / $15,848.93 / $18,197.01	Facility		$13,182.57	$15,848.93	$18,197.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $11,481.54 / $12,302.69	Facility		$11,481.54	$11,481.54	$12,302.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,819.70 / $21,877.62	Professional		$741.31	$1,819.70	$21,877.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,908.68 / $30,902.95 / $60,255.96	Facility		$22,908.68	$30,902.95	$60,255.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,659.59 / $19,498.45	Professional		$741.31	$1,659.59	$19,498.45
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $40,738.03 / $69,183.10	Facility		$8,511.38	$40,738.03	$69,183.10
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $7,943.28 / $21,379.62	Professional		$758.58	$7,943.28	$21,379.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $912.01 / $15,848.93	Professional		$549.54	$912.01	$15,848.93