Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $7,762.47 / $27,542.29	Facility		$1,445.44	$7,762.47	$27,542.29
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,570.88 / $12,589.25 / $44,668.36	Facility	50	$4,570.88	$12,589.25	$44,668.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $7,585.78	Facility		$4,466.84	$4,466.84	$7,585.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,949.84 / $24,547.09	Facility		$1,230.27	$1,949.84	$24,547.09
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $16,218.10 / $32,359.37 / $69,183.10	Facility	50	$16,218.10	$32,359.37	$69,183.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $1,778.28	Facility		$1,258.93	$1,513.56	$1,778.28
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 $18,197.01 / $26,915.35 / $51,286.14	Facility		$18,197.01	$26,915.35	$51,286.14
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $27,542.29 / $39,810.72 / $75,857.76	Facility	50	$27,542.29	$39,810.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $28,183.83 / $48,977.88	Facility		$4,365.16	$28,183.83	$48,977.88