Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $7,762.47 / $20,892.96	Facility		$1,230.27	$7,762.47	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $912.01 / $3,981.07	Facility		$707.95	$912.01	$3,981.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,380.38 / $3,388.44	Facility		$741.31	$1,380.38	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,318.26	Facility		$933.25	$1,258.93	$1,318.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,995.26	Facility		$891.25	$891.25	$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