Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $7,943.28 / $20,892.96	Facility		$1,949.84	$7,943.28	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $8,317.64	Facility		$891.25	$1,071.52	$8,317.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,238.72 / $7,762.47	Facility		$1,174.90	$2,238.72	$7,762.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $2,187.76	Facility		$1,737.80	$2,089.30	$2,187.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,445.44 / $1,778.28	Facility		$1,380.38	$1,445.44	$1,778.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $16,595.87 / $31,622.78	Facility		$10,964.78	$16,595.87	$31,622.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $17,782.79 / $33,884.42	Facility		$3,467.37	$17,782.79	$33,884.42