Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,128.61 / $17,782.79	Facility		$1,513.56	$5,128.61	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $8,317.64	Facility		$630.96	$758.58	$8,317.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,698.24 / $6,760.83	Facility		$933.25	$1,698.24	$6,760.83
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 / $4,168.69	Facility		$1,071.52	$1,096.48	$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 $1,548.82 / $16,982.44 / $33,113.11	Facility		$1,548.82	$16,982.44	$33,113.11