Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $6,025.60 / $18,620.87	Facility		$1,047.13	$6,025.60	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $3,388.44	Facility		$630.96	$758.58	$3,388.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,122.02 / $3,235.94	Facility		$575.44	$1,122.02	$3,235.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,122.02	Facility		$758.58	$1,047.13	$1,122.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $758.58	Facility		$741.31	$741.31	$758.58
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 $1,122.02 / $8,511.38 / $16,595.87	Facility		$1,122.02	$8,511.38	$16,595.87