Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $13,489.63 / $31,622.78	Facility		$13,489.63	$13,489.63	$31,622.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $11,220.18 / $18,197.01	Professional		$8,912.51	$11,220.18	$18,197.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Facility		$12,882.50	$12,882.50	$12,882.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $12,882.50	Professional		$9,332.54	$9,332.54	$12,882.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $28,183.83 / $58,884.37	Facility		$11,748.98	$28,183.83	$58,884.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $24,547.09 / $43,651.58	Professional		$11,748.98	$24,547.09	$43,651.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $20,892.96 / $20,892.96	Professional		$60.26	$20,892.96	$20,892.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $20,892.96 / $21,379.62	Facility		$20,417.38	$20,892.96	$21,379.62
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $16,595.87	Professional		$16,595.87	$16,595.87	$16,595.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $30,199.52 / $44,668.36	Facility		$18,197.01	$30,199.52	$44,668.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17,378.01 / $17,378.01 / $22,908.68	Professional		$17,378.01	$17,378.01	$22,908.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $20,417.38 / $20,417.38	Facility		$20,417.38	$20,417.38	$20,417.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16,982.44 / $17,782.79 / $23,442.29	Professional		$16,982.44	$17,782.79	$23,442.29
United Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $30,902.95 / $30,902.95	Facility		$12,302.69	$30,902.95	$30,902.95
United Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $13,182.57 / $17,782.79	Professional		$8,912.51	$13,182.57	$17,782.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14,791.08 / $17,782.79 / $31,622.78	Professional		$14,791.08	$17,782.79	$31,622.78