Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,344.23 / $18,620.87	Facility		$1,348.96	$2,344.23	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $14,454.40	Facility		$707.95	$870.96	$14,454.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,380.38 / $8,709.64	Facility		$794.33	$1,380.38	$8,709.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $1,819.70	Facility		$1,202.26	$1,659.59	$1,819.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,230.27 / $3,090.30	Facility		$1,174.90	$1,230.27	$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 $1,995.26 / $21,379.62 / $41,686.94	Facility		$1,995.26	$21,379.62	$41,686.94