Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $7,943.28 / $24,547.09	Facility		$1,698.24	$7,943.28	$24,547.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Facility		$7,079.46	$7,079.46	$7,079.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,238.72 / $23,988.33	Facility		$1,445.44	$2,238.72	$23,988.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,737.80 / $1,862.09	Facility		$1,513.56	$1,737.80	$1,862.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $15,488.17 / $29,512.09	Facility		$10,715.19	$15,488.17	$29,512.09
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $20,417.38 / $33,113.11	Facility		$4,677.35	$20,417.38	$33,113.11