Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $9,120.11 / $21,877.62	Facility		$1,023.29	$9,120.11	$21,877.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $8,317.64	Facility		$707.95	$758.58	$8,317.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,548.82 / $9,549.93	Facility		$794.33	$1,548.82	$9,549.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $1,548.82	Facility		$1,047.13	$1,445.44	$1,548.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,047.13 / $2,187.76	Facility		$1,000.00	$1,047.13	$2,187.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $20,417.38 / $38,904.51	Facility		$13,803.84	$20,417.38	$38,904.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $21,379.62 / $41,686.94	Facility		$3,467.37	$21,379.62	$41,686.94