Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,884.03 / $20,892.96	Facility		$1,737.80	$2,884.03	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $8,317.64	Facility		$707.95	$870.96	$8,317.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,548.82 / $5,248.07	Facility		$870.96	$1,548.82	$5,248.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $2,187.76	Facility		$1,258.93	$1,819.70	$2,187.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,778.28	Facility		$1,513.56	$1,513.56	$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