Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $7,762.47 / $20,892.96	Facility		$1,071.52	$7,762.47	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $4,466.84	Facility		$707.95	$870.96	$4,466.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,174.90 / $4,265.80	Facility		$616.60	$1,174.90	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,174.90	Facility		$933.25	$1,122.02	$1,174.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $794.33 / $977.24	Facility		$776.25	$794.33	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $9,120.11 / $17,378.01	Facility		$6,165.95	$9,120.11	$17,378.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,471.29 / $18,620.87	Facility		$1,995.26	$10,471.29	$18,620.87