Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $14,125.38 / $26,302.68	Facility		$1,737.80	$14,125.38	$26,302.68
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility	AS	$2,884.03	$2,884.03	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $5,248.07	Facility		$3,162.28	$3,162.28	$5,248.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,187.76 / $13,803.84	Facility		$1,258.93	$2,187.76	$13,803.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $1,862.09	Facility		$1,412.54	$1,819.70	$1,862.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,288.25 / $1,288.25	Facility		$1,258.93	$1,288.25	$1,288.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $14,125.38 / $26,915.35	Facility		$9,549.93	$14,125.38	$26,915.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $17,378.01 / $30,199.52	Facility		$2,454.71	$17,378.01	$30,199.52