Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $17,378.01 / $66,069.34	Facility		$2,187.76	$17,378.01	$66,069.34
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,943.28 / $37,153.52 / $93,325.43	Facility	50	$7,943.28	$37,153.52	$93,325.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $12,589.25	Facility		$7,585.78	$7,585.78	$12,589.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,090.30 / $45,708.82	Facility		$2,041.74	$3,090.30	$45,708.82
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $16,218.10 / $50,118.72 / $131,825.67	Facility	50	$16,218.10	$50,118.72	$131,825.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $2,884.03	Facility		$1,905.46	$2,290.87	$2,884.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,584.89 / $1,584.89	Facility		$1,548.82	$1,584.89	$1,584.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34,673.69 / $50,118.72 / $95,499.26	Facility		$34,673.69	$50,118.72	$95,499.26
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $51,286.14 / $74,131.02 / $144,543.98	Facility	50	$51,286.14	$74,131.02	$144,543.98
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $47,863.01 / $83,176.38	Facility		$4,365.16	$47,863.01	$83,176.38