Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $6,025.60 / $18,620.87	Facility		$1,258.93	$6,025.60	$18,620.87
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 $891.25 / $1,621.81 / $15,488.17	Facility		$891.25	$1,621.81	$15,488.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,348.96	Facility		$1,023.29	$1,288.25	$1,348.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $933.25 / $933.25	Facility		$891.25	$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