Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $6,456.54 / $20,892.96	Facility		$1,412.54	$6,456.54	$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 $1,148.15 / $1,905.46 / $13,803.84	Facility		$1,148.15	$1,905.46	$13,803.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,513.56	Facility		$1,230.27	$1,445.44	$1,513.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,047.13	Facility		$1,023.29	$1,023.29	$1,047.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $9,120.11 / $17,378.01	Facility		$6,918.31	$9,120.11	$17,378.01
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $11,748.98 / $19,054.61	Facility		$3,311.31	$11,748.98	$19,054.61