Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $17,782.79 / $69,183.10	Facility		$2,041.74	$17,782.79	$69,183.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $9,772.37 / $22,908.68	Professional		$1,000.00	$9,772.37	$22,908.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $19,498.45 / $30,902.95	Facility		$1,230.27	$19,498.45	$30,902.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $13,803.84 / $17,378.01	Professional		$6,309.57	$13,803.84	$17,378.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $14,791.08 / $37,153.52	Facility		$12,022.64	$14,791.08	$37,153.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $15,135.61 / $33,113.11	Professional		$12,022.64	$15,135.61	$33,113.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $954.99 / $1,380.38	Professional		$75.86	$954.99	$1,380.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $22,908.68	Facility		$12,022.64	$12,022.64	$22,908.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $20,892.96 / $36,307.81	Facility		$12,022.64	$20,892.96	$36,307.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $14,454.40	Professional		$10,715.19	$10,715.19	$14,454.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $18,197.01 / $33,113.11	Facility		$12,589.25	$18,197.01	$33,113.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $10,964.78 / $13,182.57	Professional		$10,232.93	$10,964.78	$13,182.57
United Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $14,454.40 / $14,454.40	Facility		$12,022.64	$14,454.40	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $13,489.63	Professional		$5,011.87	$5,011.87	$13,489.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $21,379.62	Professional		$5,370.32	$5,370.32	$21,379.62