Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $7,762.47 / $18,620.87	Facility		$1,023.29	$7,762.47	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,995.26 / $3,388.44	Facility		$707.95	$1,995.26	$3,388.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,096.48 / $3,235.94	Facility		$575.44	$1,096.48	$3,235.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,096.48	Facility		$851.14	$1,023.29	$1,096.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $741.31 / $741.31	Facility		$724.44	$741.31	$741.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,128.31 / $15,488.17	Facility		$5,370.32	$8,128.31	$15,488.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $16,595.87	Facility		$1,995.26	$10,000.00	$16,595.87