Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $20,892.96	Facility		$1,258.93	$1,949.84	$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 $724.44 / $1,380.38 / $4,265.80	Facility		$724.44	$1,380.38	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $1,348.96	Facility		$1,096.48	$1,288.25	$1,348.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36,307.81 / $46,773.51 / $91,201.08	Facility		$36,307.81	$46,773.51	$91,201.08
United Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $12,022.64 / $23,988.33	Facility		$6,309.57	$12,022.64	$23,988.33