Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,467.37 / $17,782.79	Facility		$758.58	$3,467.37	$17,782.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $16,595.87 / $16,595.87 / $16,595.87	Facility	50	$16,595.87	$16,595.87	$16,595.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $724.44 / $2,818.38	Facility		$416.87	$724.44	$2,818.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $933.25 / $3,235.94	Facility		$457.09	$933.25	$3,235.94
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $6,025.60 / $11,481.54 / $20,417.38	Facility	50	$6,025.60	$11,481.54	$20,417.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $933.25 / $1,122.02	Facility		$645.65	$933.25	$1,122.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $758.58 / $977.24	Facility		$741.31	$758.58	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,128.31 / $15,488.17	Facility		$5,370.32	$8,128.31	$15,488.17
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $7,943.28 / $12,022.64 / $22,908.68	Facility	50	$7,943.28	$12,022.64	$22,908.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $10,232.93 / $16,595.87	Facility		$1,862.09	$10,232.93	$16,595.87