Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $8,709.64 / $28,183.83	Facility		$1,548.82	$8,709.64	$28,183.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $9,332.54	Facility		$5,623.41	$5,623.41	$9,332.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,949.84 / $15,488.17	Facility		$1,148.15	$1,949.84	$15,488.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $1,698.24	Facility		$1,258.93	$1,621.81	$1,698.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,148.15 / $1,148.15	Facility		$1,122.02	$1,148.15	$1,148.15
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
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $20,892.96 / $36,307.81	Facility		$4,265.80	$20,892.96	$36,307.81