Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $8,912.51 / $17,782.79	Facility		$831.76	$8,912.51	$17,782.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility	50	$8,128.31	$8,128.31	$8,128.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $3,630.78	Facility		$2,187.76	$2,187.76	$3,630.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,047.13 / $10,232.93	Facility		$575.44	$1,047.13	$10,232.93
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $9,332.54 / $14,125.38 / $26,915.35	Facility	50	$9,332.54	$14,125.38	$26,915.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $870.96 / $912.01	Facility		$741.31	$870.96	$912.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $616.60	Facility		$602.56	$602.56	$616.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $10,715.19 / $20,892.96	Facility		$7,943.28	$10,715.19	$20,892.96
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $12,302.69 / $16,595.87 / $30,902.95	Facility	50	$12,302.69	$16,595.87	$30,902.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $13,489.63 / $23,442.29	Facility		$2,454.71	$13,489.63	$23,442.29