Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $9,332.54 / $28,183.83	Facility		$1,778.28	$9,332.54	$28,183.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $933.25 / $21,379.62	Facility		$891.25	$933.25	$21,379.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,691.53 / $20,417.38	Facility		$1,380.38	$2,691.53	$20,417.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $2,691.53	Facility		$1,995.26	$2,511.89	$2,691.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,819.70 / $6,165.95	Facility		$1,778.28	$1,819.70	$6,165.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $37,153.52 / $70,794.58	Facility		$26,915.35	$37,153.52	$70,794.58
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $38,018.94 / $72,443.60	Facility		$4,265.80	$38,018.94	$72,443.60