Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $8,128.31 / $28,183.83	Facility		$1,288.25	$8,128.31	$28,183.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $10,000.00	Facility		$891.25	$1,071.52	$10,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,380.38 / $8,128.31	Facility		$707.95	$1,380.38	$8,128.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $1,348.96	Facility		$1,000.00	$1,258.93	$1,348.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $933.25 / $2,187.76	Facility		$891.25	$933.25	$2,187.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $20,417.38 / $38,904.51	Facility		$13,803.84	$20,417.38	$38,904.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $21,379.62 / $41,686.94	Facility		$2,454.71	$21,379.62	$41,686.94