Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $7,943.28 / $20,892.96	Facility		$1,348.96	$7,943.28	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $10,000.00	Facility		$891.25	$1,071.52	$10,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,479.11 / $8,709.64	Facility		$724.44	$1,479.11	$8,709.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $1,445.44	Facility		$1,148.15	$1,380.38	$1,445.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,000.00 / $2,187.76	Facility		$977.24	$1,000.00	$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