Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $10,232.93 / $20,892.96	Facility		$6,309.57	$10,232.93	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,248.07 / $12,022.64	Professional		$4,168.69	$5,248.07	$12,022.64
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 $3,715.35 / $7,413.10 / $13,803.84	Professional		$3,715.35	$7,413.10	$13,803.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,317.64 / $11,748.98	Facility		$4,466.84	$8,317.64	$11,748.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $7,413.10 / $11,748.98	Professional		$4,365.16	$7,413.10	$11,748.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $8,912.51 / $9,332.54	Facility		$7,413.10	$8,912.51	$9,332.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,456.54	Facility		$6,309.57	$6,309.57	$6,456.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $10,000.00 / $13,803.84	Professional		$6,456.54	$10,000.00	$13,803.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $8,912.51 / $11,748.98	Professional		$7,079.46	$8,912.51	$11,748.98
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 $4,365.16 / $6,606.93 / $12,022.64	Professional		$4,365.16	$6,606.93	$12,022.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,897.79 / $8,128.31	Professional		$4,265.80	$4,897.79	$8,128.31