Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $12,882.50 / $33,113.11	Facility		$1,258.93	$12,882.50	$33,113.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $10,000.00	Facility		$707.95	$870.96	$10,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,380.38 / $10,471.29	Facility		$707.95	$1,380.38	$10,471.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $1,348.96	Facility		$1,000.00	$1,258.93	$1,348.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $912.01 / $2,187.76	Facility		$891.25	$912.01	$2,187.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $20,417.38 / $38,904.51	Facility		$13,803.84	$20,417.38	$38,904.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $21,379.62 / $41,686.94	Facility		$3,467.37	$21,379.62	$41,686.94