Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $6,025.60 / $18,620.87	Facility		$1,071.52	$6,025.60	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $2,398.83	Facility		$630.96	$758.58	$2,398.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,071.52 / $2,290.87	Facility		$575.44	$1,071.52	$2,290.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,122.02	Facility		$812.83	$1,047.13	$1,122.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $776.25	Facility		$741.31	$741.31	$776.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,570.88 / $8,709.64	Facility		$3,311.31	$4,570.88	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,495.41 / $9,120.11	Facility		$1,122.02	$5,495.41	$9,120.11