Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $6,025.60 / $18,620.87	Facility		$1,584.89	$6,025.60	$18,620.87
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 $912.01 / $1,621.81 / $2,818.38	Facility		$912.01	$1,621.81	$2,818.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $1,698.24	Facility		$1,202.26	$1,621.81	$1,698.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,786.30 / $9,332.54	Facility		$3,715.35	$4,786.30	$9,332.54
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $6,025.60 / $10,715.19	Facility		$933.25	$6,025.60	$10,715.19