Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $9,332.54 / $20,892.96	Facility		$794.33	$9,332.54	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $16,595.87	Facility		$10,000.00	$10,000.00	$16,595.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $8,128.31 / $16,595.87	Facility		$758.58	$8,128.31	$16,595.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $9,120.11 / $10,471.29	Facility		$6,456.54	$9,120.11	$10,471.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,918.31	Facility		$6,456.54	$6,456.54	$6,918.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19,054.61 / $28,840.32 / $56,234.13	Facility		$19,054.61	$28,840.32	$56,234.13
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $36,307.81 / $63,095.73	Facility		$4,265.80	$36,307.81	$63,095.73