Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $40,738.03 / $67,608.30	Facility		$13,803.84	$40,738.03	$67,608.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,202.26 / $1,778.28	Professional		$776.25	$1,202.26	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $24,547.09 / $50,118.72	Facility		$18,197.01	$24,547.09	$50,118.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,168.69 / $35,481.34	Facility		$1,819.70	$4,168.69	$35,481.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,090.30 / $5,128.61	Professional		$1,819.70	$3,090.30	$5,128.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,344.23	Professional		$32.36	$33.11	$2,344.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,949.84 / $2,041.74	Facility		$1,905.46	$1,949.84	$2,041.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,513.56	Facility		$1,479.11	$1,479.11	$1,513.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,630.27 / $3,235.94	Professional		$1,513.56	$2,630.27	$3,235.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,848.93 / $21,877.62 / $42,657.95	Facility		$15,848.93	$21,877.62	$42,657.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $3,162.28	Professional		$1,513.56	$2,344.23	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $20,892.96 / $27,542.29 / $50,118.72	Facility		$20,892.96	$27,542.29	$50,118.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,511.89 / $5,248.07	Professional		$1,348.96	$2,511.89	$5,248.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $4,073.80	Professional		$2,137.96	$2,884.03	$4,073.80