Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $12,882.50 / $28,183.83	Facility		$1,737.80	$12,882.50	$28,183.83
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 / $1,862.09 / $11,481.54	Facility		$891.25	$1,862.09	$11,481.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $1,862.09	Facility		$1,318.26	$1,737.80	$1,862.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,258.93 / $3,019.95	Facility		$1,230.27	$1,258.93	$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