Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $7,762.47 / $20,892.96	Facility		$1,995.26	$7,762.47	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $3,388.44	Facility		$707.95	$870.96	$3,388.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,187.76 / $7,762.47	Facility		$1,148.15	$2,187.76	$7,762.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $2,137.96	Facility		$1,778.28	$2,089.30	$2,137.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,445.44	Facility		$1,412.54	$1,412.54	$1,445.44
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 / $21,379.62 / $41,686.94	Facility		$1,995.26	$21,379.62	$41,686.94