Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,981.07 / $18,620.87	Facility		$1,122.02	$3,981.07	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,513.56 / $15,848.93	Facility		$794.33	$1,513.56	$15,848.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,148.15 / $1,258.93	Facility		$794.33	$1,148.15	$1,258.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $870.96 / $870.96	Facility		$851.14	$870.96	$870.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $16,595.87 / $31,622.78	Facility		$10,964.78	$16,595.87	$31,622.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $20,417.38 / $35,481.34	Facility		$3,467.37	$20,417.38	$35,481.34