Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $8,912.51 / $22,908.68	Facility		$1,621.81	$8,912.51	$22,908.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $5,754.40	Facility		$1,380.38	$1,698.24	$5,754.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,698.24 / $5,248.07	Facility		$851.14	$1,698.24	$5,248.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $1,698.24	Facility		$1,230.27	$1,548.82	$1,698.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
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