Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $6,309.57 / $28,183.83	Facility		$1,380.38	$6,309.57	$28,183.83
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,019.95 / $25,703.96 / $74,131.02	Facility	50	$3,019.95	$25,703.96	$74,131.02
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 $1,288.25 / $1,995.26 / $16,982.44	Facility		$1,288.25	$1,995.26	$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 $1,202.26 / $1,479.11 / $1,949.84	Facility		$1,202.26	$1,479.11	$1,949.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,047.13 / $1,047.13	Facility		$1,023.29	$1,047.13	$1,047.13
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 / $28,183.83 / $48,977.88	Facility		$3,467.37	$28,183.83	$48,977.88