Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $6,456.54 / $20,892.96	Facility		$1,380.38	$6,456.54	$20,892.96
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 $758.58 / $1,479.11 / $9,549.93	Facility		$758.58	$1,479.11	$9,549.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,445.44	Facility		$1,023.29	$1,380.38	$1,445.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,000.00 / $2,187.76	Facility		$954.99	$1,000.00	$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 $4,265.80 / $21,379.62 / $41,686.94	Facility		$4,265.80	$21,379.62	$41,686.94