Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $7,943.28 / $20,892.96	Facility		$1,380.38	$7,943.28	$20,892.96
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 $954.99 / $1,737.80 / $9,549.93	Facility		$954.99	$1,737.80	$9,549.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $1,479.11	Facility		$1,202.26	$1,412.54	$1,479.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,000.00 / $1,000.00	Facility		$977.24	$1,000.00	$1,000.00
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