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 / $13,182.57	Facility		$707.95	$870.96	$13,182.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,380.38 / $12,882.50	Facility		$758.58	$1,380.38	$12,882.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $1,348.96	Facility		$1,023.29	$1,318.26	$1,348.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $933.25 / $3,090.30	Facility		$891.25	$933.25	$3,090.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $20,417.38 / $38,904.51	Facility		$14,791.08	$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