Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $9,332.54 / $20,892.96	Facility		$1,202.26	$9,332.54	$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 $724.44 / $1,348.96 / $7,413.10	Facility		$724.44	$1,348.96	$7,413.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,288.25	Facility		$912.01	$1,230.27	$1,288.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $891.25 / $2,691.53	Facility		$870.96	$891.25	$2,691.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $21,379.62 / $40,738.03	Facility		$12,882.50	$21,379.62	$40,738.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $18,620.87 / $36,307.81	Facility		$2,137.96	$18,620.87	$36,307.81