Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,344.23 / $17,782.79	Facility		$1,202.26	$2,344.23	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $14,454.40	Facility		$630.96	$758.58	$14,454.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,348.96 / $9,120.11	Facility		$794.33	$1,348.96	$9,120.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $1,737.80	Facility		$1,230.27	$1,659.59	$1,737.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,202.26 / $2,884.03	Facility		$1,148.15	$1,202.26	$2,884.03
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