Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $7,762.47 / $20,892.96	Facility		$1,445.44	$7,762.47	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $4,466.84	Facility		$707.95	$870.96	$4,466.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,479.11 / $3,890.45	Facility		$707.95	$1,479.11	$3,890.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $1,548.82	Facility		$1,023.29	$1,412.54	$1,548.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
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