Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,548.13 / $18,620.87	Facility		$1,122.02	$3,548.13	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $5,623.41	Facility		$467.74	$562.34	$5,623.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,230.27 / $4,570.88	Facility		$691.83	$1,230.27	$4,570.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,202.26	Facility		$851.14	$1,148.15	$1,202.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $2,754.23	Facility		$812.83	$812.83	$2,754.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $10,232.93 / $19,498.45	Facility		$6,760.83	$10,232.93	$19,498.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $10,964.78 / $19,952.62	Facility		$2,137.96	$10,964.78	$19,952.62