Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $13,182.57 / $21,877.62	Facility		$1,949.84	$13,182.57	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $4,365.16	Professional		$1,621.81	$1,819.70	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $9,332.54	Facility		$5,495.41	$5,495.41	$9,332.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,964.78 / $21,877.62	Facility		$4,466.84	$10,964.78	$21,877.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $8,912.51 / $11,220.18	Professional		$4,265.80	$8,912.51	$11,220.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $7,762.47 / $12,589.25	Facility		$4,466.84	$7,762.47	$12,589.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $14,791.08 / $28,183.83	Facility		$9,772.37	$14,791.08	$28,183.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $18,620.87 / $32,359.37	Facility		$1,995.26	$18,620.87	$32,359.37