Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $6,309.57 / $19,952.62	Facility		$1,380.38	$6,309.57	$19,952.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $10,000.00	Facility		$630.96	$758.58	$10,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,445.44 / $8,128.31	Facility		$691.83	$1,445.44	$8,128.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $1,445.44	Facility		$1,122.02	$1,348.96	$1,445.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,000.00 / $2,187.76	Facility		$954.99	$1,000.00	$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 $2,454.71 / $21,379.62 / $41,686.94	Facility		$2,454.71	$21,379.62	$41,686.94