Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $9,332.54 / $28,183.83	Facility		$1,380.38	$9,332.54	$28,183.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $12,882.50	Facility		$707.95	$870.96	$12,882.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,041.74 / $12,589.25	Facility		$977.24	$2,041.74	$12,589.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $1,995.26	Facility		$1,479.11	$1,862.09	$1,995.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,348.96 / $2,884.03	Facility		$1,318.26	$1,348.96	$2,884.03
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 $4,265.80 / $21,379.62 / $41,686.94	Facility		$4,265.80	$21,379.62	$41,686.94