Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $10,000.00 / $20,892.96	Facility		$1,096.48	$10,000.00	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $4,786.30	Facility		$1,000.00	$1,230.27	$4,786.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,202.26 / $4,168.69	Facility		$660.69	$1,202.26	$4,168.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,174.90	Facility		$812.83	$1,122.02	$1,174.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $794.33 / $2,691.53	Facility		$776.25	$794.33	$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
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