Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $10,232.93 / $21,877.62	Facility		$1,096.48	$10,232.93	$21,877.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $4,466.84	Facility		$891.25	$1,071.52	$4,466.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,202.26 / $4,265.80	Facility		$616.60	$1,202.26	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,174.90	Facility		$794.33	$1,096.48	$1,174.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $812.83 / $977.24	Facility		$776.25	$812.83	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $9,332.54 / $17,378.01	Facility		$7,079.46	$9,332.54	$17,378.01
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $11,481.54 / $20,892.96	Facility		$4,265.80	$11,481.54	$20,892.96