Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $7,943.28 / $18,620.87	Facility		$1,258.93	$7,943.28	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,995.26 / $3,715.35	Facility		$707.95	$1,995.26	$3,715.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,380.38 / $4,265.80	Facility		$758.58	$1,380.38	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $1,318.26	Facility		$1,096.48	$1,318.26	$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