Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,290.87 / $17,782.79	Facility		$851.14	$2,290.87	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,479.11 / $14,791.08	Facility		$707.95	$1,479.11	$14,791.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,071.52 / $8,317.64	Facility		$562.34	$1,071.52	$8,317.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $1,819.70	Facility		$1,122.02	$1,621.81	$1,819.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $3,311.31	Facility		$1,230.27	$1,230.27	$3,311.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $19,498.45 / $37,153.52	Facility		$13,803.84	$19,498.45	$37,153.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $19,952.62 / $36,307.81	Facility		$4,265.80	$19,952.62	$36,307.81