Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $7,762.47 / $18,620.87	Facility		$616.60	$7,762.47	$18,620.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,000.00 / $14,791.08 / $25,703.96	Facility	50	$10,000.00	$14,791.08	$25,703.96
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 $436.52 / $776.25 / $9,549.93	Facility		$436.52	$776.25	$9,549.93
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $6,025.60 / $12,882.50 / $25,118.86	Facility	50	$6,025.60	$12,882.50	$25,118.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $630.96 / $660.69	Facility		$537.03	$630.96	$660.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $457.09 / $457.09	Facility		$436.52	$457.09	$457.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $9,772.37 / $19,054.61	Facility		$6,606.93	$9,772.37	$19,054.61
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,000.00 / $14,791.08 / $28,183.83	Facility	50	$10,000.00	$14,791.08	$28,183.83
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