Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $12,882.50 / $38,904.51	Facility		$1,348.96	$12,882.50	$38,904.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,621.81 / $13,182.57	Facility		$707.95	$1,621.81	$13,182.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,995.26 / $12,589.25	Facility		$1,047.13	$1,995.26	$12,589.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $1,949.84	Facility		$1,621.81	$1,905.46	$1,949.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,348.96 / $3,019.95	Facility		$1,318.26	$1,348.96	$3,019.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $20,417.38 / $38,904.51	Facility		$14,791.08	$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