Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $10,715.19 / $30,902.95	Facility		$1,445.44	$10,715.19	$30,902.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $13,182.57	Facility		$707.95	$870.96	$13,182.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,290.87 / $12,589.25	Facility		$1,174.90	$2,290.87	$12,589.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $2,290.87	Facility		$1,862.09	$2,187.76	$2,290.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,548.82 / $3,090.30	Facility		$1,513.56	$1,548.82	$3,090.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $20,417.38 / $38,904.51	Facility		$14,791.08	$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