Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $6,760.83 / $20,892.96	Facility		$426.58	$6,760.83	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $2,511.89	Facility		$1,995.26	$2,290.87	$2,511.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $275.42 / $537.03	Facility		$194.98	$275.42	$537.03
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Facility	50	$12,882.50	$12,882.50	$12,882.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $380.19 / $467.74	Facility		$316.23	$380.19	$467.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $316.23	Facility		$257.04	$257.04	$316.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $10,964.78	Facility		$8,709.64	$8,709.64	$10,964.78
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $12,882.50 / $12,882.50 / $16,595.87	Facility	50	$12,882.50	$12,882.50	$16,595.87
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $645.65 / $6,165.95	Facility		$158.49	$645.65	$6,165.95