Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $7,943.28 / $20,892.96	Facility		$1,071.52	$7,943.28	$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 $616.60 / $1,174.90 / $3,388.44	Facility		$616.60	$1,174.90	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,122.02	Facility		$776.25	$1,071.52	$1,122.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $776.25 / $1,995.26	Facility		$758.58	$776.25	$1,995.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $7,943.28 / $15,135.61	Facility		$5,754.40	$7,943.28	$15,135.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $8,709.64 / $15,488.17	Facility		$2,137.96	$8,709.64	$15,488.17