Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $7,943.28 / $18,620.87	Facility		$1,513.56	$7,943.28	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $13,489.63	Facility		$707.95	$870.96	$13,489.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,659.59 / $12,589.25	Facility		$891.25	$1,659.59	$12,589.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $1,621.81	Facility		$1,288.25	$1,548.82	$1,621.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,122.02 / $3,019.95	Facility		$1,071.52	$1,122.02	$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 $3,467.37 / $21,379.62 / $41,686.94	Facility		$3,467.37	$21,379.62	$41,686.94