Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $9,332.54 / $20,892.96	Facility		$1,949.84	$9,332.54	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $12,882.50	Facility		$891.25	$1,071.52	$12,882.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,137.96 / $12,589.25	Facility		$1,122.02	$2,137.96	$12,589.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $2,089.30	Facility		$1,698.24	$1,995.26	$2,089.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,445.44 / $3,019.95	Facility		$1,380.38	$1,445.44	$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 $4,265.80 / $21,379.62 / $41,686.94	Facility		$4,265.80	$21,379.62	$41,686.94