Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $9,332.54 / $20,892.96	Facility		$5,754.40	$9,332.54	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,570.88 / $10,232.93	Professional		$3,715.35	$4,570.88	$10,232.93
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 $3,090.30 / $6,606.93 / $12,302.69	Professional		$3,090.30	$6,606.93	$12,302.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,413.10 / $10,471.29	Facility		$4,168.69	$7,413.10	$10,471.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $6,456.54 / $10,232.93	Professional		$3,890.45	$6,456.54	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,862.09	Professional		$32.36	$33.11	$1,862.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $7,762.47 / $8,511.38	Facility		$5,623.41	$7,762.47	$8,511.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $8,912.51 / $12,302.69	Professional		$5,754.40	$8,912.51	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $8,128.31 / $10,471.29	Professional		$6,165.95	$8,128.31	$10,471.29
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 $3,890.45 / $5,754.40 / $10,715.19	Professional		$3,890.45	$5,754.40	$10,715.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,466.84 / $7,244.36	Professional		$3,890.45	$4,466.84	$7,244.36