Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $7,762.47 / $20,892.96	Facility		$1,778.28	$7,762.47	$20,892.96
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 $1,230.27 / $2,137.96 / $8,511.38	Facility		$1,230.27	$2,137.96	$8,511.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $1,905.46	Facility		$1,258.93	$1,737.80	$1,905.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,288.25	Facility		$1,258.93	$1,258.93	$1,288.25
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
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