Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $7,943.28 / $20,892.96	Facility		$1,479.11	$7,943.28	$20,892.96
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 $776.25 / $1,513.56 / $4,265.80	Facility		$776.25	$1,513.56	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $1,548.82	Facility		$1,047.13	$1,412.54	$1,548.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,071.52	Facility		$1,047.13	$1,047.13	$1,071.52
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