Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,467.37 / $18,620.87	Facility		$1,905.46	$3,467.37	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $12,589.25	Facility		$891.25	$1,071.52	$12,589.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,290.87 / $7,585.78	Facility		$1,318.26	$2,290.87	$7,585.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,691.53 / $2,818.38	Facility		$1,949.84	$2,691.53	$2,818.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,905.46 / $2,187.76	Facility		$1,862.09	$1,905.46	$2,187.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $20,417.38 / $38,904.51	Facility		$13,803.84	$20,417.38	$38,904.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $21,379.62 / $41,686.94	Facility		$1,995.26	$21,379.62	$41,686.94