Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,019.95 / $19,952.62	Facility		$1,230.27	$3,019.95	$19,952.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $6,918.31	Facility		$4,168.69	$4,168.69	$6,918.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,621.81 / $7,079.46	Facility		$870.96	$1,621.81	$7,079.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $1,737.80	Facility		$1,122.02	$1,584.89	$1,737.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,202.26 / $1,202.26	Facility		$1,174.90	$1,202.26	$1,202.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $16,595.87 / $31,622.78	Facility		$10,964.78	$16,595.87	$31,622.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $20,417.38 / $35,481.34	Facility		$1,995.26	$20,417.38	$35,481.34