Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,041.74 / $20,892.96	Facility		$1,047.13	$2,041.74	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $13,489.63	Facility		$891.25	$1,071.52	$13,489.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,174.90 / $8,128.31	Facility		$691.83	$1,174.90	$8,128.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $1,584.89	Facility		$1,096.48	$1,513.56	$1,584.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,071.52 / $3,019.95	Facility		$1,047.13	$1,071.52	$3,019.95
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