Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $7,943.28 / $21,877.62	Facility		$1,348.96	$7,943.28	$21,877.62
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $11,748.98 / $16,982.44 / $19,952.62	Facility	50	$11,748.98	$16,982.44	$19,952.62
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 $1,047.13 / $1,737.80 / $9,549.93	Facility		$1,047.13	$1,737.80	$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 $1,122.02 / $1,412.54 / $1,513.56	Facility		$1,122.02	$1,412.54	$1,513.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $977.24 / $977.24	Facility		$954.99	$977.24	$977.24
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