Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $7,943.28 / $20,892.96	Facility		$1,258.93	$7,943.28	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $10,000.00	Facility		$891.25	$1,071.52	$10,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,380.38 / $9,549.93	Facility		$707.95	$1,380.38	$9,549.93
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $9,772.37 / $26,302.68 / $52,480.75	Facility	50	$9,772.37	$26,302.68	$52,480.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,348.96	Facility		$1,000.00	$1,288.25	$1,348.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $912.01 / $2,187.76	Facility		$891.25	$912.01	$2,187.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $20,417.38 / $38,904.51	Facility		$13,803.84	$20,417.38	$38,904.51
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $20,417.38 / $30,199.52 / $57,543.99	Facility	50	$20,417.38	$30,199.52	$57,543.99
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