Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $7,762.47 / $20,892.96	Facility		$1,318.26	$7,762.47	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $870.96	Facility		$758.58	$758.58	$870.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,479.11 / $4,265.80	Facility		$776.25	$1,479.11	$4,265.80
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $5,623.41 / $12,302.69 / $23,442.29	Facility	50	$5,623.41	$12,302.69	$23,442.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,412.54	Facility		$1,096.48	$1,380.38	$1,412.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $977.24	Facility		$954.99	$954.99	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $9,120.11 / $17,378.01	Facility		$6,165.95	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $9,332.54 / $13,803.84 / $26,302.68	Facility	50	$9,332.54	$13,803.84	$26,302.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,471.29 / $18,620.87	Facility		$1,995.26	$10,471.29	$18,620.87