Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,548.13 / $18,620.87	Facility		$1,288.25	$3,548.13	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $2,398.83	Facility		$467.74	$562.34	$2,398.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,174.90 / $2,089.30	Facility		$707.95	$1,174.90	$2,089.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $1,380.38	Facility		$1,023.29	$1,318.26	$1,380.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $954.99	Facility		$912.01	$912.01	$954.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,570.88 / $8,709.64	Facility		$2,951.21	$4,570.88	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $5,495.41 / $9,120.11	Facility		$416.87	$5,495.41	$9,120.11