Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $23,442.29 / $52,480.75	Facility		$4,897.79	$23,442.29	$52,480.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,168.69 / $5,011.87	Professional		$3,162.28	$4,168.69	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $11,481.54 / $13,489.63	Facility		$5,495.41	$11,481.54	$13,489.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $5,248.07 / $23,988.33	Facility		$4,677.35	$5,248.07	$23,988.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,248.07 / $8,912.51	Professional		$4,168.69	$5,248.07	$8,912.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $7,244.36	Facility		$5,248.07	$5,248.07	$7,244.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $9,120.11 / $15,848.93	Facility		$5,248.07	$9,120.11	$15,848.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $6,309.57	Professional		$4,677.35	$4,677.35	$6,309.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $7,762.47 / $14,454.40	Facility		$5,495.41	$7,762.47	$14,454.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,677.35 / $5,888.44	Professional		$4,466.84	$4,677.35	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $6,309.57 / $6,309.57	Facility		$5,248.07	$6,309.57	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $5,888.44	Professional		$2,187.76	$2,187.76	$5,888.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $5,248.07 / $9,332.54	Professional		$2,344.23	$5,248.07	$9,332.54