Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,019.95 / $17,782.79	Facility		$660.69	$3,019.95	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $11,481.54	Facility		$501.19	$870.96	$11,481.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,513.56 / $4,897.79	Facility		$398.11	$1,513.56	$4,897.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,238.72 / $2,344.23	Facility		$1,621.81	$2,238.72	$2,344.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,621.81 / $2,691.53	Facility		$1,548.82	$1,621.81	$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