Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $7,413.10 / $20,892.96	Facility		$1,202.26	$7,413.10	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $13,803.84	Facility		$707.95	$870.96	$13,803.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,288.25 / $11,220.18	Facility		$616.60	$1,288.25	$11,220.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,288.25	Facility		$1,000.00	$1,202.26	$1,288.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $870.96 / $2,818.38	Facility		$831.76	$870.96	$2,818.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $20,417.38 / $38,904.51	Facility		$13,803.84	$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