Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $7,943.28 / $20,892.96	Facility		$1,479.11	$7,943.28	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,071.52 / $10,715.19	Facility		$1,000.00	$1,071.52	$10,715.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,621.81 / $12,302.69	Facility		$758.58	$1,621.81	$12,302.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $1,584.89	Facility		$1,096.48	$1,513.56	$1,584.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,096.48 / $2,818.38	Facility		$1,047.13	$1,096.48	$2,818.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $20,417.38 / $38,904.51	Facility		$14,791.08	$20,417.38	$38,904.51
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $21,379.62 / $41,686.94	Facility		$4,265.80	$21,379.62	$41,686.94