Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $9,120.11 / $20,892.96	Facility		$1,047.13	$9,120.11	$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 $537.03 / $1,122.02 / $3,890.45	Facility		$537.03	$1,122.02	$3,890.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,096.48	Facility		$776.25	$1,047.13	$1,096.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $758.58 / $977.24	Facility		$724.44	$758.58	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $9,120.11 / $17,378.01	Facility		$6,760.83	$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