Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $7,943.28 / $20,892.96	Facility		$1,288.25	$7,943.28	$20,892.96
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,677.35 / $16,595.87 / $21,877.62	Facility	50	$4,677.35	$16,595.87	$21,877.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $3,630.78	Facility		$2,187.76	$2,187.76	$3,630.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,621.81 / $9,549.93	Facility		$912.01	$1,621.81	$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 $1,000.00 / $1,318.26 / $1,348.96	Facility		$1,000.00	$1,318.26	$1,348.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $933.25 / $933.25	Facility		$891.25	$933.25	$933.25
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