Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $8,912.51 / $28,183.83	Facility		$2,511.89	$8,912.51	$28,183.83
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 $1,348.96 / $2,691.53 / $12,302.69	Facility		$1,348.96	$2,691.53	$12,302.69
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $22,908.68 / $23,988.33 / $31,622.78	Facility	50	$22,908.68	$23,988.33	$31,622.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,570.40 / $2,691.53	Facility		$2,089.30	$2,570.40	$2,691.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,862.09	Facility		$1,778.28	$1,778.28	$1,862.09
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
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $21,379.62 / $28,183.83 / $53,703.18	Facility	50	$21,379.62	$28,183.83	$53,703.18
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