Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $7,943.28 / $28,183.83	Facility		$1,659.59	$7,943.28	$28,183.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $24,547.09	Facility		$1,000.00	$1,230.27	$24,547.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,778.28 / $21,379.62	Facility		$870.96	$1,778.28	$21,379.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $1,778.28	Facility		$1,380.38	$1,659.59	$1,778.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,202.26 / $6,165.95	Facility		$1,174.90	$1,202.26	$6,165.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $37,153.52 / $70,794.58	Facility		$26,915.35	$37,153.52	$70,794.58
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $38,018.94 / $72,443.60	Facility		$4,265.80	$38,018.94	$72,443.60