Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $12,022.64 / $30,902.95	Facility		$1,071.52	$12,022.64	$30,902.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $12,882.50	Facility		$891.25	$1,071.52	$12,882.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,148.15 / $12,022.64	Facility		$562.34	$1,148.15	$12,022.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,148.15	Facility		$831.76	$1,071.52	$1,148.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $776.25 / $2,951.21	Facility		$758.58	$776.25	$2,951.21
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