Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $7,943.28 / $20,892.96	Facility		$1,380.38	$7,943.28	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,071.52 / $10,964.78	Facility		$1,000.00	$1,071.52	$10,964.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,479.11 / $12,302.69	Facility		$776.25	$1,479.11	$12,302.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,513.56	Facility		$1,023.29	$1,380.38	$1,513.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,047.13 / $2,951.21	Facility		$1,023.29	$1,047.13	$2,951.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $20,417.38 / $38,904.51	Facility		$13,803.84	$20,417.38	$38,904.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $21,379.62 / $41,686.94	Facility		$3,467.37	$21,379.62	$41,686.94