Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $8,128.31 / $20,892.96	Facility		$1,148.15	$8,128.31	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,479.11 / $9,332.54	Facility		$891.25	$1,479.11	$9,332.54
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $7,762.47 / $12,302.69 / $26,302.68	Facility	50	$7,762.47	$12,302.69	$26,302.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,230.27	Facility		$1,000.00	$1,174.90	$1,230.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $831.76 / $831.76	Facility		$812.83	$831.76	$831.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $10,715.19 / $20,417.38	Facility		$6,918.31	$10,715.19	$20,417.38
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,232.93 / $15,848.93 / $30,199.52	Facility	50	$10,232.93	$15,848.93	$30,199.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $12,882.50 / $22,387.21	Facility		$1,995.26	$12,882.50	$22,387.21