Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $7,079.46 / $22,908.68	Facility		$1,380.38	$7,079.46	$22,908.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $3,981.07	Facility		$1,380.38	$1,698.24	$3,981.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,479.11 / $3,801.89	Facility		$741.31	$1,479.11	$3,801.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $1,445.44	Facility		$1,071.52	$1,380.38	$1,445.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,000.00	Facility		$954.99	$954.99	$1,000.00
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