Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $6,309.57 / $20,892.96	Facility		$1,479.11	$6,309.57	$20,892.96
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 $933.25 / $1,659.59 / $6,606.93	Facility		$933.25	$1,659.59	$6,606.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $1,584.89	Facility		$1,288.25	$1,513.56	$1,584.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $15,848.93 / $30,902.95	Facility		$10,471.29	$15,848.93	$30,902.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $17,378.01 / $33,884.42	Facility		$1,548.82	$17,378.01	$33,884.42