Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $11,220.18 / $28,183.83	Facility		$870.96	$11,220.18	$28,183.83
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 $707.95 / $1,348.96 / $12,022.64	Facility		$707.95	$1,348.96	$12,022.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,258.93 / $1,318.26	Facility		$977.24	$1,258.93	$1,318.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $891.25 / $2,884.03	Facility		$870.96	$891.25	$2,884.03
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