Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,981.07 / $17,782.79	Facility		$1,513.56	$3,981.07	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $4,466.84	Facility		$630.96	$758.58	$4,466.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,698.24 / $4,265.80	Facility		$870.96	$1,698.24	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $1,698.24	Facility		$1,230.27	$1,621.81	$1,698.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,148.15	Facility		$1,122.02	$1,122.02	$1,148.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $9,120.11 / $17,378.01	Facility		$6,760.83	$9,120.11	$17,378.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $11,220.18 / $18,620.87	Facility		$2,454.71	$11,220.18	$18,620.87