Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,570.88 / $17,782.79	Facility		$1,000.00	$4,570.88	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,071.52 / $3,311.31	Facility		$707.95	$1,071.52	$3,311.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,288.25 / $3,388.44	Facility		$707.95	$1,288.25	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,258.93	Facility		$1,000.00	$1,174.90	$1,258.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $851.14 / $1,995.26	Facility		$831.76	$851.14	$1,995.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $7,943.28 / $15,135.61	Facility		$5,370.32	$7,943.28	$15,135.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $8,709.64 / $15,488.17	Facility		$1,548.82	$8,709.64	$15,488.17