Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $7,943.28 / $20,892.96	Facility		$1,348.96	$7,943.28	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $12,882.50	Facility		$707.95	$870.96	$12,882.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,479.11 / $14,125.38	Facility		$724.44	$1,479.11	$14,125.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $1,445.44	Facility		$1,071.52	$1,380.38	$1,445.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,000.00 / $3,019.95	Facility		$954.99	$1,000.00	$3,019.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $20,417.38 / $38,904.51	Facility		$14,791.08	$20,417.38	$38,904.51
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $21,379.62 / $41,686.94	Facility		$4,265.80	$21,379.62	$41,686.94