Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,585.78 / $20,892.96	Facility		$1,000.00	$7,585.78	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $3,981.07	Facility		$891.25	$1,071.52	$3,981.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,122.02 / $3,388.44	Facility		$602.56	$1,122.02	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,071.52	Facility		$831.76	$1,000.00	$1,071.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $741.31 / $1,995.26	Facility		$707.95	$741.31	$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