Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $8,317.64 / $20,892.96	Facility		$1,000.00	$8,317.64	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,818.38	Facility		$1,698.24	$1,698.24	$2,818.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,584.89 / $7,762.47	Facility		$891.25	$1,584.89	$7,762.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $1,348.96	Facility		$1,096.48	$1,288.25	$1,348.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,128.31 / $15,488.17	Facility		$5,370.32	$8,128.31	$15,488.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,471.29 / $17,378.01	Facility		$1,995.26	$10,471.29	$17,378.01