Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,548.13 / $18,620.87	Facility		$1,230.27	$3,548.13	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $501.19 / $3,715.35	Facility		$467.74	$501.19	$3,715.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,258.93 / $3,890.45	Facility		$575.44	$1,258.93	$3,890.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,174.90 / $1,318.26	Facility		$831.76	$1,174.90	$1,318.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $977.24	Facility		$891.25	$891.25	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $9,120.11 / $17,378.01	Facility		$6,165.95	$9,120.11	$17,378.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $9,549.93 / $18,620.87	Facility		$1,122.02	$9,549.93	$18,620.87