Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $6,309.57 / $21,877.62	Facility		$1,513.56	$6,309.57	$21,877.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $6,309.57	Facility		$3,801.89	$3,801.89	$6,309.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,949.84 / $16,982.44	Facility		$1,071.52	$1,949.84	$16,982.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $1,621.81	Facility		$1,174.90	$1,548.82	$1,621.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,096.48 / $1,096.48	Facility		$1,071.52	$1,096.48	$1,096.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $18,620.87 / $35,481.34	Facility		$12,302.69	$18,620.87	$35,481.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $22,908.68 / $39,810.72	Facility		$1,995.26	$22,908.68	$39,810.72