Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $8,128.31 / $21,877.62	Facility		$1,412.54	$8,128.31	$21,877.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $10,000.00	Facility		$891.25	$1,071.52	$10,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,548.82 / $8,709.64	Facility		$758.58	$1,548.82	$8,709.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $1,513.56	Facility		$1,096.48	$1,445.44	$1,513.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,023.29 / $2,187.76	Facility		$1,000.00	$1,023.29	$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