Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $6,456.54 / $28,183.83	Facility		$1,000.00	$6,456.54	$28,183.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $28,840.32 / $47,863.01	Facility		$28,840.32	$28,840.32	$47,863.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,288.25 / $72,443.60	Facility		$707.95	$1,288.25	$72,443.60
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $53,703.18 / $89,125.09 / $169,824.37	Facility	50	$53,703.18	$89,125.09	$169,824.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,096.48	Facility		$776.25	$1,023.29	$1,096.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $741.31 / $741.31	Facility		$707.95	$741.31	$741.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $45,708.82 / $61,659.50 / $117,489.76	Facility		$45,708.82	$61,659.50	$117,489.76
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $67,608.30 / $93,325.43 / $177,827.94	Facility	50	$67,608.30	$93,325.43	$177,827.94
United Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $107,151.93 / $186,208.71	Facility		$12,022.64	$107,151.93	$186,208.71