Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,548.13 / $18,620.87	Facility		$1,148.15	$3,548.13	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility		$6,760.83	$6,760.83	$6,760.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,445.44 / $17,378.01	Facility		$794.33	$1,445.44	$17,378.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,230.27	Facility		$1,000.00	$1,174.90	$1,230.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $831.76 / $831.76	Facility		$812.83	$831.76	$831.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $26,302.68 / $50,118.72	Facility		$17,378.01	$26,302.68	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $32,359.37 / $56,234.13	Facility		$2,454.71	$32,359.37	$56,234.13