Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $6,309.57 / $20,892.96	Facility		$1,000.00	$6,309.57	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $6,760.83	Facility		$4,073.80	$4,073.80	$6,760.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,258.93 / $15,488.17	Facility		$691.83	$1,258.93	$15,488.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,071.52	Facility		$741.31	$1,000.00	$1,071.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $724.44 / $724.44	Facility		$707.95	$724.44	$724.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $16,218.10 / $31,622.78	Facility		$10,715.19	$16,218.10	$31,622.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $20,892.96 / $36,307.81	Facility		$4,265.80	$20,892.96	$36,307.81