Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $6,456.54 / $20,892.96	Facility		$794.33	$6,456.54	$20,892.96
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,623.41 / $12,882.50 / $18,197.01	Facility	50	$5,623.41	$12,882.50	$18,197.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $323.59 / $1,000.00 / $2,754.23	Professional	50	$323.59	$1,000.00	$2,754.23
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $363.08 / $363.08 / $812.83	Professional	50	$363.08	$363.08	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $3,311.31	Facility		$1,995.26	$1,995.26	$3,311.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,023.29 / $8,317.64	Facility		$524.81	$1,023.29	$8,317.64
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $4,365.16 / $10,964.78 / $22,387.21	Facility	50	$4,365.16	$10,964.78	$22,387.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $758.58 / $851.14	Facility		$537.03	$758.58	$851.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $9,120.11 / $17,378.01	Facility		$5,888.44	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $8,912.51 / $13,803.84 / $26,302.68	Facility	50	$8,912.51	$13,803.84	$26,302.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $11,481.54 / $19,952.62	Facility		$1,995.26	$11,481.54	$19,952.62