Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $10,471.29 / $20,892.96	Facility		$1,819.70	$10,471.29	$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 $1,023.29 / $1,949.84 / $22,908.68	Facility		$1,023.29	$1,949.84	$22,908.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $1,949.84	Facility		$1,584.89	$1,862.09	$1,949.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,318.26	Facility		$1,288.25	$1,288.25	$1,318.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $18,620.87 / $35,481.34	Facility		$13,489.63	$18,620.87	$35,481.34
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $38,018.94 / $72,443.60	Facility		$3,467.37	$38,018.94	$72,443.60