Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $10,232.93 / $28,183.83	Facility		$1,288.25	$10,232.93	$28,183.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility		$6,760.83	$6,760.83	$6,760.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,621.81 / $15,488.17	Facility		$912.01	$1,621.81	$15,488.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $1,380.38	Facility		$1,096.48	$1,318.26	$1,380.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $933.25 / $933.25	Facility		$912.01	$933.25	$933.25
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 $4,265.80 / $20,892.96 / $36,307.81	Facility		$4,265.80	$20,892.96	$36,307.81