Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $10,232.93 / $24,547.09	Facility		$1,659.59	$10,232.93	$24,547.09
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 / $2,089.30 / $15,848.93	Facility		$1,202.26	$2,089.30	$15,848.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $1,778.28	Facility		$1,412.54	$1,698.24	$1,778.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,202.26 / $1,202.26	Facility		$1,174.90	$1,202.26	$1,202.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,218.10 / $31,622.78	Facility		$12,022.64	$16,218.10	$31,622.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $20,892.96 / $36,307.81	Facility		$4,265.80	$20,892.96	$36,307.81