Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,677.35 / $18,620.87	Facility		$1,412.54	$4,677.35	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $12,589.25	Facility		$630.96	$758.58	$12,589.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,548.82 / $12,022.64	Facility		$812.83	$1,548.82	$12,022.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $1,513.56	Facility		$1,122.02	$1,445.44	$1,513.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,047.13 / $2,818.38	Facility		$1,023.29	$1,047.13	$2,818.38
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