Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $7,943.28 / $27,542.29	Facility		$2,290.87	$7,943.28	$27,542.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $870.96	Facility		$758.58	$758.58	$870.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,511.89 / $12,589.25	Facility		$1,288.25	$2,511.89	$12,589.25
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $22,908.68 / $23,988.33 / $31,622.78	Facility	50	$22,908.68	$23,988.33	$31,622.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $2,454.71	Facility		$1,862.09	$2,398.83	$2,454.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,698.24	Facility		$1,659.59	$1,659.59	$1,698.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $18,620.87 / $35,481.34	Facility		$14,125.38	$18,620.87	$35,481.34
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $21,379.62 / $28,183.83 / $53,703.18	Facility	50	$21,379.62	$28,183.83	$53,703.18
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $21,379.62 / $41,686.94	Facility		$3,467.37	$21,379.62	$41,686.94