Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $10,232.93 / $21,877.62	Facility		$1,071.52	$10,232.93	$21,877.62
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,309.57 / $17,782.79 / $35,481.34	Facility	50	$6,309.57	$17,782.79	$35,481.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $6,309.57	Facility		$3,801.89	$3,801.89	$6,309.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,862.09 / $16,982.44	Facility		$1,047.13	$1,862.09	$16,982.44
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $8,511.38 / $22,387.21 / $46,773.51	Facility	50	$8,511.38	$22,387.21	$46,773.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $1,584.89	Facility		$1,258.93	$1,513.56	$1,584.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,096.48 / $1,096.48	Facility		$1,071.52	$1,096.48	$1,096.48
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 $2,454.71 / $22,908.68 / $39,810.72	Facility		$2,454.71	$22,908.68	$39,810.72