Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,818.38 / $5,128.61	Professional		$2,454.71	$2,818.38	$5,128.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $3,090.30 / $3,630.78	Professional		$436.52	$3,090.30	$3,630.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $489.78 / $4,897.79	Facility		$407.38	$489.78	$4,897.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $4,786.30	Professional		$407.38	$562.34	$4,786.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $645.65	Professional		$524.81	$645.65	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $371.54 / $3,311.31	Facility		$25.12	$371.54	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,041.74 / $3,548.13	Professional		$1,862.09	$2,041.74	$3,548.13