Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $14,454.40 / $24,547.09	Facility		$2,187.76	$14,454.40	$24,547.09
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $33,884.42 / $33,884.42 / $33,884.42	Facility	50	$33,884.42	$33,884.42	$33,884.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,818.38 / $16,982.44	Facility		$1,513.56	$2,818.38	$16,982.44
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $11,220.18 / $22,387.21 / $46,773.51	Facility	50	$11,220.18	$22,387.21	$46,773.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $2,398.83	Facility		$1,905.46	$2,290.87	$2,398.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,621.81	Facility		$1,584.89	$1,584.89	$1,621.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $18,620.87 / $35,481.34	Facility		$12,302.69	$18,620.87	$35,481.34
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $18,620.87 / $27,542.29 / $52,480.75	Facility	50	$18,620.87	$27,542.29	$52,480.75
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $22,908.68 / $39,810.72	Facility		$3,467.37	$22,908.68	$39,810.72