Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $12,022.64 / $28,183.83	Facility		$1,698.24	$12,022.64	$28,183.83
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $14,125.38 / $14,125.38 / $38,904.51	Facility	50	$14,125.38	$14,125.38	$38,904.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $10,000.00	Facility		$1,995.26	$2,511.89	$10,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,630.27 / $8,709.64	Facility		$1,380.38	$2,630.27	$8,709.64
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $12,882.50 / $26,302.68 / $52,480.75	Facility	50	$12,882.50	$26,302.68	$52,480.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $2,630.27	Facility		$2,137.96	$2,511.89	$2,630.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,778.28 / $2,187.76	Facility		$1,737.80	$1,778.28	$2,187.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $20,417.38 / $38,904.51	Facility		$13,803.84	$20,417.38	$38,904.51
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $20,417.38 / $30,199.52 / $57,543.99	Facility	50	$20,417.38	$30,199.52	$57,543.99
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $21,379.62 / $41,686.94	Facility		$4,265.80	$21,379.62	$41,686.94