Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $7,943.28 / $20,892.96	Facility		$1,288.25	$7,943.28	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $2,818.38	Facility		$707.95	$870.96	$2,818.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,380.38 / $2,951.21	Facility		$724.44	$1,380.38	$2,951.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $1,348.96	Facility		$1,096.48	$1,318.26	$1,348.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $933.25	Facility		$912.01	$912.01	$933.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,128.31 / $15,488.17	Facility		$5,370.32	$8,128.31	$15,488.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $16,595.87	Facility		$1,995.26	$10,000.00	$16,595.87