Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $10,232.93 / $20,417.38	Facility		$851.14	$10,232.93	$20,417.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $16,982.44 / $16,982.44 / $16,982.44	Facility	50	$16,982.44	$16,982.44	$16,982.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,290.87 / $4,786.30	Facility		$1,862.09	$2,290.87	$4,786.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,230.27 / $4,168.69	Facility		$676.08	$1,230.27	$4,168.69
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $9,549.93 / $10,964.78 / $16,595.87	Facility	50	$9,549.93	$10,964.78	$16,595.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,202.26	Facility		$891.25	$1,122.02	$1,202.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $812.83 / $2,691.53	Facility		$794.33	$812.83	$2,691.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $9,772.37 / $18,620.87	Facility		$7,079.46	$9,772.37	$18,620.87
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,715.19 / $14,791.08 / $28,183.83	Facility	50	$10,715.19	$14,791.08	$28,183.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $11,220.18 / $19,952.62	Facility		$2,137.96	$11,220.18	$19,952.62