Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $10,715.19 / $20,892.96	Facility		$4,677.35	$10,715.19	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,370.32 / $13,182.57	Professional		$4,365.16	$5,370.32	$13,182.57
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 $4,073.80 / $7,585.78 / $14,454.40	Professional		$4,073.80	$7,585.78	$14,454.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $8,912.51 / $12,302.69	Facility		$4,897.79	$8,912.51	$12,302.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $7,762.47 / $12,302.69	Professional		$4,570.88	$7,762.47	$12,302.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,137.96	Professional		$32.36	$33.11	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $9,332.54 / $9,772.37	Facility		$7,079.46	$9,332.54	$9,772.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,760.83	Facility		$6,606.93	$6,606.93	$6,760.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $10,471.29 / $14,454.40	Professional		$6,760.83	$10,471.29	$14,454.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $9,332.54 / $12,302.69	Professional		$7,413.10	$9,332.54	$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 / $6,918.31 / $12,589.25	Professional		$4,466.84	$6,918.31	$12,589.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,011.87 / $8,317.64	Professional		$4,365.16	$5,011.87	$8,317.64