Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $7,585.78 / $22,908.68	Facility		$2,818.38	$7,585.78	$22,908.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $870.96	Facility		$758.58	$758.58	$870.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,090.30 / $17,782.79	Facility		$1,479.11	$3,090.30	$17,782.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $3,090.30	Facility		$2,454.71	$2,884.03	$3,090.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,137.96 / $8,128.31	Facility		$2,041.74	$2,137.96	$8,128.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34,673.69 / $46,773.51 / $91,201.08	Facility		$34,673.69	$46,773.51	$91,201.08
United Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $38,018.94 / $72,443.60	Facility		$6,309.57	$38,018.94	$72,443.60