Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $12,589.25 / $26,302.68	Facility		$3,890.45	$12,589.25	$26,302.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,890.45 / $6,760.83	Professional		$3,801.89	$3,890.45	$6,760.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $18,620.87	Facility		$11,220.18	$11,220.18	$18,620.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $20,892.96 / $39,810.72	Facility		$8,511.38	$20,892.96	$39,810.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $16,982.44 / $20,892.96	Professional		$8,128.31	$16,982.44	$20,892.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $22,387.21 / $22,387.21	Facility		$8,709.64	$22,387.21	$22,387.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,782.79 / $26,302.68 / $50,118.72	Facility		$17,782.79	$26,302.68	$50,118.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Professional		$7,244.36	$7,244.36	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $32,359.37 / $56,234.13	Facility		$4,265.80	$32,359.37	$56,234.13