Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $7,762.47 / $20,892.96	Facility		$1,288.25	$7,762.47	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $12,302.69	Facility		$707.95	$870.96	$12,302.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,380.38 / $7,413.10	Facility		$724.44	$1,380.38	$7,413.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $1,412.54	Facility		$1,000.00	$1,318.26	$1,412.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $954.99 / $2,511.89	Facility		$933.25	$954.99	$2,511.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $19,054.61 / $36,307.81	Facility		$12,882.50	$19,054.61	$36,307.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $11,748.98 / $19,498.45	Facility		$3,467.37	$11,748.98	$19,498.45