Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $9,120.11 / $22,908.68	Facility		$1,380.38	$9,120.11	$22,908.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,348.96 / $10,000.00	Facility		$707.95	$1,348.96	$10,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,137.96 / $9,549.93	Facility		$1,047.13	$2,137.96	$9,549.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $2,089.30	Facility		$1,584.89	$1,995.26	$2,089.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,445.44 / $2,187.76	Facility		$1,380.38	$1,445.44	$2,187.76
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