Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,884.03 / $18,620.87	Facility		$1,584.89	$2,884.03	$18,620.87
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 $954.99 / $1,659.59 / $3,019.95	Facility		$954.99	$1,659.59	$3,019.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $2,137.96	Facility		$1,479.11	$2,041.74	$2,137.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,479.11	Facility		$1,412.54	$1,412.54	$1,479.11
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