Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,818.38 / $18,620.87	Facility		$1,412.54	$2,818.38	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,122.02 / $2,818.38	Facility		$645.65	$1,122.02	$2,818.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $3,235.94	Facility		$1,071.52	$1,737.80	$3,235.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $1,819.70	Facility		$1,230.27	$1,698.24	$1,819.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,230.27	Facility		$1,202.26	$1,202.26	$1,230.27
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
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $8,912.51 / $16,595.87	Facility		$1,047.13	$8,912.51	$16,595.87