Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $10,232.93 / $22,908.68	Facility		$776.25	$10,232.93	$22,908.68
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $12,882.50 / $12,882.50 / $20,417.38	Facility	50	$12,882.50	$12,882.50	$20,417.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $6,025.60	Facility		$3,548.13	$3,548.13	$6,025.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $954.99 / $13,182.57	Facility		$562.34	$954.99	$13,182.57
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $6,606.93 / $17,378.01 / $37,153.52	Facility	50	$6,606.93	$17,378.01	$37,153.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $794.33 / $831.76	Facility		$676.08	$794.33	$831.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $562.34 / $562.34	Facility		$549.54	$562.34	$562.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $14,791.08 / $28,183.83	Facility		$9,772.37	$14,791.08	$28,183.83
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $14,454.40 / $21,877.62 / $41,686.94	Facility	50	$14,454.40	$21,877.62	$41,686.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $18,620.87 / $32,359.37	Facility		$1,995.26	$18,620.87	$32,359.37