Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $20,892.96	Facility		$8,709.64	$8,709.64	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $7,413.10 / $11,748.98	Professional		$5,495.41	$7,413.10	$11,748.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Facility		$9,120.11	$9,120.11	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $9,120.11	Professional		$6,606.93	$6,606.93	$9,120.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $18,197.01 / $38,018.94	Facility		$7,762.47	$18,197.01	$38,018.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $15,848.93 / $28,183.83	Professional		$7,762.47	$15,848.93	$28,183.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $10,232.93 / $11,220.18	Professional		$75.86	$10,232.93	$11,220.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $13,489.63 / $16,218.10	Facility		$13,182.57	$13,489.63	$16,218.10
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Professional		$10,715.19	$10,715.19	$10,715.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $19,498.45 / $28,840.32	Facility		$11,748.98	$19,498.45	$28,840.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $14,791.08	Professional		$11,220.18	$11,220.18	$14,791.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Facility		$13,182.57	$13,182.57	$13,182.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $15,135.61	Professional		$11,748.98	$11,748.98	$15,135.61
United Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $19,952.62 / $19,952.62	Facility		$6,165.95	$19,952.62	$19,952.62
United Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $8,128.31 / $11,748.98	Professional		$5,754.40	$8,128.31	$11,748.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $9,549.93 / $20,417.38	Professional		$7,413.10	$9,549.93	$20,417.38