Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $15,848.93 / $28,183.83	Facility		$4,677.35	$15,848.93	$28,183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $11,220.18 / $11,220.18	Professional		$3,801.89	$11,220.18	$11,220.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $6,606.93	Facility		$3,981.07	$3,981.07	$6,606.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $13,182.57 / $21,379.62	Facility		$4,466.84	$13,182.57	$21,379.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $12,022.64 / $12,022.64	Facility		$4,786.30	$12,022.64	$12,022.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $14,125.38 / $26,915.35	Facility		$9,549.93	$14,125.38	$26,915.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $17,378.01 / $30,199.52	Facility		$1,995.26	$17,378.01	$30,199.52