Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $7,943.28 / $20,892.96	Facility		$1,698.24	$7,943.28	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $870.96	Facility		$707.95	$758.58	$870.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,737.80 / $6,918.31	Facility		$912.01	$1,737.80	$6,918.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $1,778.28	Facility		$1,348.96	$1,659.59	$1,778.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,230.27	Facility		$1,202.26	$1,202.26	$1,230.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $18,620.87 / $35,481.34	Facility		$13,489.63	$18,620.87	$35,481.34
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