Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,677.35 / $18,620.87	Facility		$1,122.02	$4,677.35	$18,620.87
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 $645.65 / $1,230.27 / $8,128.31	Facility		$645.65	$1,230.27	$8,128.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,202.26	Facility		$891.25	$1,122.02	$1,202.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $831.76 / $2,187.76	Facility		$794.33	$831.76	$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 $1,995.26 / $21,379.62 / $41,686.94	Facility		$1,995.26	$21,379.62	$41,686.94