Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $22,387.21 / $56,234.13	Facility		$2,290.87	$22,387.21	$56,234.13
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 $1,737.80 / $2,951.21 / $26,302.68	Facility		$1,737.80	$2,951.21	$26,302.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $2,454.71	Facility		$1,995.26	$2,344.23	$2,454.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,659.59 / $1,659.59	Facility		$1,621.81	$1,659.59	$1,659.59
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