Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $7,943.28 / $22,908.68	Facility		$2,454.71	$7,943.28	$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 $1,258.93 / $2,630.27 / $33,884.42	Facility		$1,258.93	$2,630.27	$33,884.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $2,630.27	Facility		$1,995.26	$2,511.89	$2,630.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,819.70 / $8,128.31	Facility		$1,737.80	$1,819.70	$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 / $51,286.14 / $100,000.00	Facility		$6,309.57	$51,286.14	$100,000.00