Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,456.54 / $20,892.96	Facility		$1,778.28	$6,456.54	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $870.96	Facility		$707.95	$758.58	$870.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,905.46 / $9,549.93	Facility		$977.24	$1,905.46	$9,549.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $1,905.46	Facility		$1,445.44	$1,819.70	$1,905.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,318.26 / $2,187.76	Facility		$1,288.25	$1,318.26	$2,187.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $19,054.61 / $35,481.34	Facility		$14,125.38	$19,054.61	$35,481.34
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