Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $7,943.28 / $20,892.96	Facility		$1,778.28	$7,943.28	$20,892.96
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 $954.99 / $1,862.09 / $4,265.80	Facility		$954.99	$1,862.09	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $1,905.46	Facility		$1,445.44	$1,819.70	$1,905.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,288.25	Facility		$1,258.93	$1,258.93	$1,288.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $8,511.38 / $16,218.10	Facility		$6,456.54	$8,511.38	$16,218.10
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