Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,041.74 / $17,782.79	Facility		$1,071.52	$2,041.74	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $3,981.07	Facility		$630.96	$758.58	$3,981.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,230.27 / $2,691.53	Facility		$724.44	$1,230.27	$2,691.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $1,548.82	Facility		$1,071.52	$1,479.11	$1,548.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,071.52	Facility		$1,023.29	$1,023.29	$1,071.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $9,120.11 / $17,378.01	Facility		$5,888.44	$9,120.11	$17,378.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,471.29 / $19,054.61	Facility		$1,995.26	$10,471.29	$19,054.61