Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,981.07 / $18,620.87	Facility		$1,318.26	$3,981.07	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $4,466.84	Facility		$467.74	$562.34	$4,466.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,479.11 / $4,365.16	Facility		$812.83	$1,479.11	$4,365.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $1,445.44	Facility		$1,000.00	$1,380.38	$1,445.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $977.24 / $2,454.71	Facility		$954.99	$977.24	$2,454.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $10,964.78 / $20,892.96	Facility		$7,079.46	$10,964.78	$20,892.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $11,220.18 / $21,379.62	Facility		$1,548.82	$11,220.18	$21,379.62