Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $8,128.31 / $20,892.96	Facility		$676.08	$8,128.31	$20,892.96
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $18,197.01 / $18,197.01 / $18,197.01	Facility	50	$18,197.01	$18,197.01	$18,197.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $3,801.89	Facility		$2,290.87	$2,290.87	$3,801.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $851.14 / $9,332.54	Facility		$489.78	$851.14	$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 $588.84 / $691.83 / $724.44	Facility		$588.84	$691.83	$724.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $489.78 / $489.78	Facility		$478.63	$489.78	$489.78
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