Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,548.13 / $18,620.87	Facility		$1,412.54	$3,548.13	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $4,466.84	Facility		$467.74	$562.34	$4,466.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,479.11 / $4,265.80	Facility		$758.58	$1,479.11	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,380.38 / $1,513.56	Facility		$977.24	$1,380.38	$1,513.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,288.25	Facility		$1,023.29	$1,023.29	$1,288.25
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 $2,454.71 / $11,220.18 / $18,620.87	Facility		$2,454.71	$11,220.18	$18,620.87