Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $7,762.47 / $23,988.33	Facility		$436.52	$7,762.47	$23,988.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $5,754.40	Facility		$3,467.37	$3,467.37	$5,754.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $549.54 / $16,982.44	Facility		$338.84	$549.54	$16,982.44
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $7,762.47 / $21,877.62 / $48,977.88	Facility	50	$7,762.47	$21,877.62	$48,977.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $457.09 / $512.86	Facility		$380.19	$457.09	$512.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $316.23 / $316.23	Facility		$309.03	$316.23	$316.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $19,498.45 / $37,153.52	Facility		$12,882.50	$19,498.45	$37,153.52
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $19,054.61 / $28,840.32 / $56,234.13	Facility	50	$19,054.61	$28,840.32	$56,234.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $24,547.09 / $42,657.95	Facility		$2,454.71	$24,547.09	$42,657.95