Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $10,232.93 / $28,183.83	Facility		$1,513.56	$10,232.93	$28,183.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $12,589.25	Facility		$1,000.00	$1,230.27	$12,589.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,584.89 / $11,220.18	Facility		$758.58	$1,584.89	$11,220.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,479.11 / $1,621.81	Facility		$1,202.26	$1,479.11	$1,621.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,096.48 / $3,019.95	Facility		$1,071.52	$1,096.48	$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