Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,466.84 / $20,892.96	Facility		$1,096.48	$4,466.84	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $4,466.84	Facility		$891.25	$1,071.52	$4,466.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,174.90 / $4,265.80	Facility		$616.60	$1,174.90	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,148.15	Facility		$912.01	$1,071.52	$1,148.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $794.33 / $977.24	Facility		$758.58	$794.33	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $9,120.11 / $17,378.01	Facility		$6,760.83	$9,120.11	$17,378.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $11,220.18 / $18,620.87	Facility		$2,454.71	$11,220.18	$18,620.87