Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $7,943.28 / $24,547.09	Facility		$3,162.28	$7,943.28	$24,547.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $6,918.31	Facility		$1,380.38	$1,698.24	$6,918.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,801.89 / $7,079.46	Facility		$2,187.76	$3,801.89	$7,079.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,630.78 / $3,715.35	Facility		$2,754.23	$3,630.78	$3,715.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,570.40 / $4,168.69	Facility		$2,511.89	$2,570.40	$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