Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $7,762.47 / $20,892.96	Facility		$1,318.26	$7,762.47	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $4,466.84	Facility		$707.95	$870.96	$4,466.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,348.96 / $3,890.45	Facility		$645.65	$1,348.96	$3,890.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,380.38	Facility		$933.25	$1,258.93	$1,380.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $954.99 / $977.24	Facility		$933.25	$954.99	$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