Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $7,943.28 / $20,892.96	Facility		$2,691.53	$7,943.28	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,995.26 / $3,388.44	Facility		$707.95	$1,995.26	$3,388.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,238.72 / $3,890.45	Facility		$1,445.44	$2,238.72	$3,890.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $2,884.03	Facility		$2,089.30	$2,818.38	$2,884.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,949.84	Facility		$1,905.46	$1,905.46	$1,949.84
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 / $10,000.00 / $16,595.87	Facility		$1,995.26	$10,000.00	$16,595.87