Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $12,302.69 / $20,892.96	Facility		$6,456.54	$12,302.69	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,888.44 / $15,848.93	Professional		$5,128.61	$5,888.44	$15,848.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $10,471.29 / $16,595.87	Professional		$6,918.31	$10,471.29	$16,595.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $11,748.98 / $14,454.40	Facility		$7,079.46	$11,748.98	$14,454.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $12,022.64 / $14,454.40	Professional		$7,244.36	$12,022.64	$14,454.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $10,715.19 / $11,481.54	Facility		$8,709.64	$10,715.19	$11,481.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $7,762.47	Facility		$7,762.47	$7,762.47	$7,762.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $12,882.50 / $16,595.87	Professional		$7,762.47	$12,882.50	$16,595.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $10,964.78 / $14,791.08	Professional		$7,943.28	$10,964.78	$14,791.08
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,454.71 / $37,153.52	Facility		$707.95	$2,454.71	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $9,332.54 / $16,595.87	Professional		$5,888.44	$9,332.54	$16,595.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $7,079.46 / $10,000.00	Professional		$5,248.07	$7,079.46	$10,000.00