Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $16,595.87 / $28,183.83	Facility		$1,047.13	$16,595.87	$28,183.83
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $22,387.21 / $25,703.96 / $46,773.51	Facility	50	$22,387.21	$25,703.96	$46,773.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,479.11 / $6,760.83	Facility		$1,380.38	$1,479.11	$6,760.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,174.90 / $7,244.36	Facility		$645.65	$1,174.90	$7,244.36
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $14,125.38 / $15,848.93 / $24,547.09	Facility	50	$14,125.38	$15,848.93	$24,547.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,148.15	Facility		$851.14	$1,071.52	$1,148.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $776.25 / $4,073.80	Facility		$758.58	$776.25	$4,073.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $16,218.10 / $31,622.78	Facility		$10,715.19	$16,218.10	$31,622.78
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $16,218.10 / $24,547.09 / $46,773.51	Facility	50	$16,218.10	$24,547.09	$46,773.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $19,054.61 / $33,884.42	Facility		$3,235.94	$19,054.61	$33,884.42