Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,548.13 / $18,620.87	Facility		$1,202.26	$3,548.13	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,548.82 / $13,182.57	Facility		$851.14	$1,548.82	$13,182.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,288.25	Facility		$1,047.13	$1,230.27	$1,288.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $870.96 / $870.96	Facility		$851.14	$870.96	$870.96
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
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $19,054.61 / $32,359.37	Facility		$4,265.80	$19,054.61	$32,359.37