Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $8,912.51 / $20,892.96	Facility		$1,659.59	$8,912.51	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $25,118.86	Facility		$1,000.00	$1,230.27	$25,118.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,778.28 / $19,952.62	Facility		$912.01	$1,778.28	$19,952.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $1,778.28	Facility		$1,318.26	$1,659.59	$1,778.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,202.26 / $6,456.54	Facility		$1,174.90	$1,202.26	$6,456.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $37,153.52 / $70,794.58	Facility		$26,915.35	$37,153.52	$70,794.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $38,018.94 / $72,443.60	Facility		$3,467.37	$38,018.94	$72,443.60