Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $16,595.87 / $27,542.29	Facility		$2,238.72	$16,595.87	$27,542.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $8,317.64	Facility		$1,380.38	$1,698.24	$8,317.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,454.71 / $7,079.46	Facility		$1,380.38	$2,454.71	$7,079.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $2,398.83	Facility		$1,949.84	$2,290.87	$2,398.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,621.81 / $4,168.69	Facility		$1,584.89	$1,621.81	$4,168.69
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 $2,884.03 / $17,378.01 / $33,113.11	Facility		$2,884.03	$17,378.01	$33,113.11