Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $16,982.44	Facility		$7,244.36	$7,244.36	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $6,606.93 / $12,882.50	Professional		$5,011.87	$6,606.93	$12,882.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Facility		$8,709.64	$8,709.64	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $8,709.64	Professional		$6,309.57	$6,309.57	$8,709.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $16,595.87 / $31,622.78	Facility		$6,918.31	$16,595.87	$31,622.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $14,125.38 / $25,703.96	Professional		$6,918.31	$14,125.38	$25,703.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $8,511.38 / $9,332.54	Professional		$75.86	$8,511.38	$9,332.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $11,220.18 / $14,125.38	Facility		$10,715.19	$11,220.18	$14,125.38
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $11,220.18	Professional		$8,912.51	$8,912.51	$11,220.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $16,218.10 / $23,988.33	Facility		$9,772.37	$16,218.10	$23,988.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $12,022.64	Professional		$9,120.11	$9,120.11	$12,022.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Facility		$10,715.19	$10,715.19	$10,715.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $12,589.25	Professional		$9,549.93	$9,549.93	$12,589.25
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $18,197.01 / $18,197.01	Facility		$5,495.41	$18,197.01	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $7,413.10 / $10,471.29	Professional		$5,128.61	$7,413.10	$10,471.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $7,943.28 / $16,982.44	Professional		$6,760.83	$7,943.28	$16,982.44