Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $7,943.28 / $20,892.96	Facility		$1,995.26	$7,943.28	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $954.99	Facility		$501.19	$707.95	$954.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,905.46 / $2,691.53	Facility		$1,023.29	$1,905.46	$2,691.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $2,137.96	Facility		$1,513.56	$2,041.74	$2,137.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,479.11 / $4,073.80	Facility		$1,445.44	$1,479.11	$4,073.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility		$8,128.31	$8,128.31	$8,128.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,890.45 / $16,218.10	Facility		$1,698.24	$3,890.45	$16,218.10