Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $10,471.29 / $20,892.96	Facility		$6,456.54	$10,471.29	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,495.41 / $11,748.98	Professional		$4,466.84	$5,495.41	$11,748.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $954.99	Facility		$501.19	$707.95	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $7,762.47 / $14,125.38	Professional		$2,344.23	$7,762.47	$14,125.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,912.51 / $12,882.50	Facility		$5,011.87	$8,912.51	$12,882.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $12,589.25	Professional		$4,570.88	$7,943.28	$12,589.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,089.30	Professional		$32.36	$33.11	$2,089.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $9,332.54 / $10,232.93	Facility		$7,413.10	$9,332.54	$10,232.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $14,125.38	Professional		$6,606.93	$10,232.93	$14,125.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $9,549.93 / $12,302.69	Professional		$7,413.10	$9,549.93	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,258.93 / $5,754.40	Facility		$707.95	$1,258.93	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $7,079.46 / $12,589.25	Professional		$4,466.84	$7,079.46	$12,589.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,128.61 / $8,511.38	Professional		$4,466.84	$5,128.61	$8,511.38