Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,548.13 / $18,620.87	Facility		$1,202.26	$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 $616.60 / $1,174.90 / $2,089.30	Facility		$616.60	$1,174.90	$2,089.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,288.25	Facility		$891.25	$1,202.26	$1,288.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $891.25	Facility		$851.14	$851.14	$891.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $4,570.88 / $8,709.64	Facility		$3,019.95	$4,570.88	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,495.41 / $9,120.11	Facility		$1,122.02	$5,495.41	$9,120.11