Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $6,456.54 / $20,892.96	Facility		$1,096.48	$6,456.54	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,290.87 / $10,000.00	Facility		$1,862.09	$2,290.87	$10,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,659.59 / $9,549.93	Facility		$870.96	$1,659.59	$9,549.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $1,659.59	Facility		$1,202.26	$1,548.82	$1,659.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,122.02 / $2,187.76	Facility		$1,096.48	$1,122.02	$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