Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $3,801.89 / $18,620.87	Facility		$380.19	$3,801.89	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $2,818.38 / $5,888.44	Facility		$295.12	$2,818.38	$5,888.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,754.23 / $3,388.44	Facility		$2,290.87	$2,754.23	$3,388.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,089.30 / $2,187.76	Facility		$1,995.26	$2,089.30	$2,187.76
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
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