Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $10,232.93 / $31,622.78	Facility		$1,548.82	$10,232.93	$31,622.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $11,481.54	Facility		$6,918.31	$6,918.31	$11,481.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $26,302.68	Facility		$1,230.27	$1,995.26	$26,302.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $1,698.24	Facility		$1,318.26	$1,621.81	$1,698.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,148.15 / $1,148.15	Facility		$1,122.02	$1,148.15	$1,148.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19,054.61 / $28,840.32 / $56,234.13	Facility		$19,054.61	$28,840.32	$56,234.13
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $36,307.81 / $63,095.73	Facility		$4,265.80	$36,307.81	$63,095.73