Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $7,762.47 / $20,892.96	Facility		$1,288.25	$7,762.47	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $13,803.84	Facility		$707.95	$870.96	$13,803.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,380.38 / $13,803.84	Facility		$691.83	$1,380.38	$13,803.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $1,380.38	Facility		$1,047.13	$1,288.25	$1,380.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $933.25 / $3,090.30	Facility		$912.01	$933.25	$3,090.30
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