Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $7,762.47 / $20,892.96	Facility		$1,380.38	$7,762.47	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $3,715.35	Facility		$707.95	$758.58	$3,715.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,412.54 / $3,890.45	Facility		$562.34	$1,412.54	$3,890.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,380.38 / $1,479.11	Facility		$831.76	$1,380.38	$1,479.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,000.00	Facility		$977.24	$977.24	$1,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $9,120.11 / $17,378.01	Facility		$6,760.83	$9,120.11	$17,378.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $11,220.18 / $18,620.87	Facility		$2,454.71	$11,220.18	$18,620.87