Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $17,782.79	Facility		$1,096.48	$2,137.96	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $10,000.00	Facility		$630.96	$758.58	$10,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,230.27 / $6,456.54	Facility		$707.95	$1,230.27	$6,456.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $1,659.59	Facility		$1,122.02	$1,584.89	$1,659.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,148.15 / $2,187.76	Facility		$1,122.02	$1,148.15	$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 $4,265.80 / $21,379.62 / $41,686.94	Facility		$4,265.80	$21,379.62	$41,686.94