Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $6,456.54 / $17,782.79	Facility		$1,202.26	$6,456.54	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $2,398.83	Facility		$891.25	$1,071.52	$2,398.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,148.15 / $2,290.87	Facility		$645.65	$1,148.15	$2,290.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,288.25	Facility		$812.83	$1,148.15	$1,288.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $870.96	Facility		$851.14	$851.14	$870.96
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