Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $15,848.93 / $81,283.05	Facility		$2,691.53	$15,848.93	$81,283.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $39,810.72	Facility		$707.95	$870.96	$39,810.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,311.31 / $30,902.95	Facility		$1,737.80	$3,311.31	$30,902.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,090.30 / $3,311.31	Facility		$2,691.53	$3,090.30	$3,311.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,238.72 / $8,912.51	Facility		$2,187.76	$2,238.72	$8,912.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38,904.51 / $52,480.75 / $100,000.00	Facility		$38,904.51	$52,480.75	$100,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $51,286.14 / $100,000.00	Facility		$4,265.80	$51,286.14	$100,000.00