Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $9,332.54 / $28,183.83	Facility		$1,258.93	$9,332.54	$28,183.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $10,000.00	Facility		$891.25	$1,071.52	$10,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,348.96 / $8,709.64	Facility		$645.65	$1,348.96	$8,709.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $1,348.96	Facility		$1,023.29	$1,258.93	$1,348.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $912.01 / $2,187.76	Facility		$891.25	$912.01	$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 $4,265.80 / $21,379.62 / $41,686.94	Facility		$4,265.80	$21,379.62	$41,686.94