Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $8,128.31 / $28,183.83	Facility		$1,949.84	$8,128.31	$28,183.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $25,703.96	Facility		$891.25	$1,071.52	$25,703.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,238.72 / $19,952.62	Facility		$1,148.15	$2,238.72	$19,952.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $2,187.76	Facility		$1,778.28	$2,089.30	$2,187.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,513.56 / $6,165.95	Facility		$1,445.44	$1,513.56	$6,165.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $37,153.52 / $70,794.58	Facility		$26,915.35	$37,153.52	$70,794.58
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $38,018.94 / $72,443.60	Facility		$4,265.80	$38,018.94	$72,443.60