Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29,512.09 / $29,512.09 / $69,183.10	Facility		$29,512.09	$29,512.09	$69,183.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18,620.87 / $24,547.09 / $36,307.81	Professional		$18,620.87	$24,547.09	$36,307.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30,902.95 / $30,902.95 / $30,902.95	Professional		$30,902.95	$30,902.95	$30,902.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $35,481.34 / $38,904.51 / $169,824.37	Facility		$35,481.34	$38,904.51	$169,824.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $37,153.52 / $44,668.36	Professional		$1.20	$37,153.52	$44,668.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $64.57	Professional		$44.67	$50.12	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37,153.52 / $38,018.94 / $39,810.72	Facility		$37,153.52	$38,018.94	$39,810.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36,307.81 / $56,234.13 / $83,176.38	Facility		$36,307.81	$56,234.13	$83,176.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31,622.78 / $31,622.78 / $43,651.58	Professional		$31,622.78	$31,622.78	$43,651.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37,153.52 / $37,153.52 / $37,153.52	Facility		$37,153.52	$37,153.52	$37,153.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33,113.11 / $33,113.11 / $42,657.95	Professional		$33,113.11	$33,113.11	$42,657.95
United Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $53,703.18 / $53,703.18	Facility		$19,952.62	$53,703.18	$53,703.18
United Facility/Professional Professional Modifier Low / Median / High Price $19,952.62 / $21,379.62 / $36,307.81	Professional		$19,952.62	$21,379.62	$36,307.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27,542.29 / $33,113.11 / $58,884.37	Professional		$27,542.29	$33,113.11	$58,884.37