Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $12,302.69 / $28,183.83	Facility		$2,041.74	$12,302.69	$28,183.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,698.24 / $8,317.64	Facility		$1,479.11	$1,698.24	$8,317.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,238.72 / $7,079.46	Facility		$1,122.02	$2,238.72	$7,079.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $2,187.76	Facility		$1,698.24	$2,137.96	$2,187.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,479.11 / $2,290.87	Facility		$1,445.44	$1,479.11	$2,290.87
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