Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $7,762.47 / $20,892.96	Facility		$2,818.38	$7,762.47	$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 $1,862.09 / $3,090.30 / $5,623.41	Facility		$1,862.09	$3,090.30	$5,623.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,981.07 / $4,073.80	Facility		$2,454.71	$3,981.07	$4,073.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,818.38	Facility		$2,754.23	$2,754.23	$2,818.38
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
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