Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $6,025.60 / $18,620.87	Facility		$1,258.93	$6,025.60	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $4,466.84	Facility		$891.25	$1,071.52	$4,466.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,348.96 / $3,890.45	Facility		$660.69	$1,348.96	$3,890.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $1,318.26	Facility		$1,047.13	$1,258.93	$1,318.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $912.01 / $977.24	Facility		$870.96	$912.01	$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
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $11,220.18 / $18,620.87	Facility		$2,454.71	$11,220.18	$18,620.87