Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,762.47 / $20,892.96	Facility		$1,000.00	$7,762.47	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $15,488.17 / $25,703.96	Facility		$15,488.17	$15,488.17	$25,703.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,258.93 / $36,307.81	Facility		$691.83	$1,258.93	$36,307.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,071.52	Facility		$870.96	$1,023.29	$1,071.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $724.44 / $724.44	Facility		$707.95	$724.44	$724.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25,118.86 / $36,307.81 / $70,794.58	Facility		$25,118.86	$36,307.81	$70,794.58
United Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $45,708.82 / $79,432.82	Facility		$6,309.57	$45,708.82	$79,432.82