Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $6,025.60 / $18,620.87	Facility		$1,202.26	$6,025.60	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $3,890.45	Facility		$2,344.23	$2,344.23	$3,890.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,513.56 / $9,549.93	Facility		$831.76	$1,513.56	$9,549.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,258.93	Facility		$1,047.13	$1,230.27	$1,258.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $870.96 / $870.96	Facility		$831.76	$870.96	$870.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $9,772.37 / $19,054.61	Facility		$7,244.36	$9,772.37	$19,054.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $12,302.69 / $20,892.96	Facility		$2,454.71	$12,302.69	$20,892.96