Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,943.28 / $20,892.96	Facility		$1,412.54	$7,943.28	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $13,489.63	Facility		$891.25	$1,071.52	$13,489.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,513.56 / $12,302.69	Facility		$741.31	$1,513.56	$12,302.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $1,479.11	Facility		$1,174.90	$1,412.54	$1,479.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,023.29 / $2,951.21	Facility		$977.24	$1,023.29	$2,951.21
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