Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $6,456.54 / $20,892.96	Facility		$1,905.46	$6,456.54	$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 $1,071.52 / $2,041.74 / $12,022.64	Facility		$1,071.52	$2,041.74	$12,022.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $2,041.74	Facility		$1,584.89	$1,949.84	$2,041.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,380.38	Facility		$1,348.96	$1,348.96	$1,380.38
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 / $21,379.62 / $41,686.94	Facility		$4,265.80	$21,379.62	$41,686.94