Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $9,120.11 / $18,620.87	Facility		$1,318.26	$9,120.11	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,995.26 / $3,388.44	Facility		$707.95	$1,995.26	$3,388.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,412.54 / $3,235.94	Facility		$741.31	$1,412.54	$3,235.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $1,412.54	Facility		$1,148.15	$1,348.96	$1,412.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $954.99	Facility		$933.25	$933.25	$954.99
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 / $10,000.00 / $16,595.87	Facility		$1,995.26	$10,000.00	$16,595.87