Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $9,120.11 / $18,620.87	Facility		$1,174.90	$9,120.11	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $3,388.44	Facility		$707.95	$870.96	$3,388.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,288.25 / $3,235.94	Facility		$588.84	$1,288.25	$3,235.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,202.26 / $1,258.93	Facility		$758.58	$1,202.26	$1,258.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $870.96	Facility		$831.76	$831.76	$870.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,128.31 / $15,488.17	Facility		$5,370.32	$8,128.31	$15,488.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $8,511.38 / $16,595.87	Facility		$1,122.02	$8,511.38	$16,595.87