Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $7,943.28 / $21,877.62	Facility		$1,023.29	$7,943.28	$21,877.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $6,918.31	Facility		$1,000.00	$1,230.27	$6,918.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,148.15 / $7,079.46	Facility		$630.96	$1,148.15	$7,079.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,096.48	Facility		$891.25	$1,047.13	$1,096.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $741.31 / $4,168.69	Facility		$724.44	$741.31	$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