Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $8,128.31 / $20,892.96	Facility		$1,412.54	$8,128.31	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $4,466.84	Facility		$891.25	$1,071.52	$4,466.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,513.56 / $3,890.45	Facility		$724.44	$1,513.56	$3,890.45
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $8,128.31 / $12,302.69 / $23,442.29	Facility	50	$8,128.31	$12,302.69	$23,442.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $1,479.11	Facility		$1,174.90	$1,412.54	$1,479.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,023.29	Facility		$977.24	$977.24	$1,023.29
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
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,000.00 / $13,803.84 / $26,302.68	Facility	50	$10,000.00	$13,803.84	$26,302.68
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