Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $7,762.47 / $20,892.96	Facility		$1,659.59	$7,762.47	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $12,882.50	Facility		$707.95	$870.96	$12,882.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,778.28 / $9,549.93	Facility		$933.25	$1,778.28	$9,549.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $1,778.28	Facility		$1,230.27	$1,698.24	$1,778.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,202.26 / $2,187.76	Facility		$1,174.90	$1,202.26	$2,187.76
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