Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $6,025.60 / $18,620.87	Facility		$1,023.29	$6,025.60	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $8,317.64	Facility		$501.19	$870.96	$8,317.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,096.48 / $6,309.57	Facility		$616.60	$1,096.48	$6,309.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,096.48	Facility		$912.01	$1,071.52	$1,096.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $758.58 / $4,168.69	Facility		$724.44	$758.58	$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