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 / $1,230.27 / $4,466.84	Facility		$1,000.00	$1,230.27	$4,466.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,412.54 / $4,265.80	Facility		$741.31	$1,412.54	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,318.26 / $1,479.11	Facility		$954.99	$1,318.26	$1,479.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,000.00	Facility		$977.24	$977.24	$1,000.00
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