Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $14,791.08 / $52,480.75	Facility		$2,818.38	$14,791.08	$52,480.75
Aetna Facility/Professional Facility Modifier 62 Low / Median / High Price $104,712.85 / $104,712.85 / $104,712.85	Facility	62	$104,712.85	$104,712.85	$104,712.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $954.99	Facility		$501.19	$707.95	$954.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,311.31 / $12,022.64	Facility		$1,819.70	$3,311.31	$12,022.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $3,090.30	Facility		$2,511.89	$2,951.21	$3,090.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $6,918.31	Facility		$2,089.30	$2,089.30	$6,918.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19,054.61 / $28,840.32 / $56,234.13	Facility		$19,054.61	$28,840.32	$56,234.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $30,199.52 / $58,884.37	Facility		$3,235.94	$30,199.52	$58,884.37