Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $20,892.96	Facility		$1,096.48	$1,737.80	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $870.96	Facility		$758.58	$758.58	$870.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,202.26 / $4,265.80	Facility		$645.65	$1,202.26	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,122.02 / $1,174.90	Facility		$912.01	$1,122.02	$1,174.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $812.83	Facility		$794.33	$794.33	$812.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $18,620.87 / $35,481.34	Facility		$14,125.38	$18,620.87	$35,481.34
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $11,481.54 / $20,892.96	Facility		$4,265.80	$11,481.54	$20,892.96