Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $10,232.93 / $28,183.83	Facility		$831.76	$10,232.93	$28,183.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $16,595.87	Facility		$10,000.00	$10,000.00	$16,595.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $7,079.46 / $17,378.01	Facility		$707.95	$7,079.46	$17,378.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $7,079.46 / $8,511.38	Facility		$5,888.44	$7,079.46	$8,511.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,370.32 / $5,370.32	Facility		$5,011.87	$5,370.32	$5,370.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19,054.61 / $28,840.32 / $56,234.13	Facility		$19,054.61	$28,840.32	$56,234.13
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $36,307.81 / $63,095.73	Facility		$4,265.80	$36,307.81	$63,095.73