Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $16,595.87 / $28,840.32	Facility		$1,698.24	$16,595.87	$28,840.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $6,760.83	Facility		$4,073.80	$4,073.80	$6,760.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $15,488.17	Facility		$1,202.26	$2,137.96	$15,488.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $1,819.70	Facility		$1,479.11	$1,737.80	$1,819.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,230.27 / $1,230.27	Facility		$1,202.26	$1,230.27	$1,230.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $16,218.10 / $31,622.78	Facility		$10,715.19	$16,218.10	$31,622.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $20,892.96 / $36,307.81	Facility		$3,467.37	$20,892.96	$36,307.81