Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $7,943.28 / $20,892.96	Facility		$1,174.90	$7,943.28	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $4,466.84	Facility		$1,000.00	$1,230.27	$4,466.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,288.25 / $4,265.80	Facility		$645.65	$1,288.25	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,174.90 / $1,258.93	Facility		$933.25	$1,174.90	$1,258.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $870.96 / $977.24	Facility		$831.76	$870.96	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $9,332.54 / $17,378.01	Facility		$7,079.46	$9,332.54	$17,378.01
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $11,220.18 / $18,620.87	Facility		$3,467.37	$11,220.18	$18,620.87