Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,754.23 / $18,620.87	Facility		$831.76	$2,754.23	$18,620.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,348.96 / $6,918.31 / $10,715.19	Facility	50	$1,348.96	$6,918.31	$10,715.19
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
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,548.82 / $9,549.93	Facility		$831.76	$1,548.82	$9,549.93
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $8,511.38 / $12,589.25 / $26,915.35	Facility	50	$8,511.38	$12,589.25	$26,915.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,318.26	Facility		$912.01	$1,230.27	$1,318.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $891.25 / $891.25	Facility		$870.96	$891.25	$891.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $10,715.19 / $20,892.96	Facility		$7,079.46	$10,715.19	$20,892.96
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,715.19 / $16,218.10 / $30,902.95	Facility	50	$10,715.19	$16,218.10	$30,902.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $13,489.63 / $23,442.29	Facility		$2,454.71	$13,489.63	$23,442.29