Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,943.28 / $20,892.96	Facility		$1,412.54	$7,943.28	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $5,888.44	Facility		$891.25	$1,071.52	$5,888.44
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 $1,000.00 / $1,348.96 / $1,513.56	Facility		$1,000.00	$1,348.96	$1,513.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,023.29	Facility		$1,000.00	$1,000.00	$1,023.29
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