Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $14,791.08 / $51,286.14	Facility		$2,187.76	$14,791.08	$51,286.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $25,703.96	Facility		$707.95	$758.58	$25,703.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,344.23 / $21,877.62	Facility		$1,174.90	$2,344.23	$21,877.62
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $31,622.78 / $47,863.01 / $102,329.30	Facility	50	$31,622.78	$47,863.01	$102,329.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,238.72 / $2,344.23	Facility		$1,862.09	$2,238.72	$2,344.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,584.89 / $6,456.54	Facility		$1,548.82	$1,584.89	$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
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $40,738.03 / $56,234.13 / $107,151.93	Facility	50	$40,738.03	$56,234.13	$107,151.93
United Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $38,018.94 / $72,443.60	Facility		$6,309.57	$38,018.94	$72,443.60