Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $7,943.28 / $20,892.96	Facility		$1,122.02	$7,943.28	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $3,981.07	Facility		$1,000.00	$1,230.27	$3,981.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,202.26 / $3,801.89	Facility		$562.34	$1,202.26	$3,801.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,174.90	Facility		$812.83	$1,096.48	$1,174.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $794.33 / $812.83	Facility		$776.25	$794.33	$812.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $9,332.54 / $17,378.01	Facility		$6,918.31	$9,332.54	$17,378.01
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $11,481.54 / $19,054.61	Facility		$3,467.37	$11,481.54	$19,054.61