Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $20,892.96	Facility		$1,122.02	$1,737.80	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $4,570.88	Facility		$2,754.23	$2,754.23	$4,570.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,412.54 / $9,772.37	Facility		$741.31	$1,412.54	$9,772.37
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $5,495.41 / $13,489.63 / $25,703.96	Facility	50	$5,495.41	$13,489.63	$25,703.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,202.26	Facility		$812.83	$1,122.02	$1,202.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $831.76 / $831.76	Facility		$794.33	$831.76	$831.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $9,549.93 / $18,620.87	Facility		$6,760.83	$9,549.93	$18,620.87
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,000.00 / $14,454.40 / $27,542.29	Facility	50	$10,000.00	$14,454.40	$27,542.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $12,302.69 / $20,892.96	Facility		$2,454.71	$12,302.69	$20,892.96