Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,548.13 / $18,620.87	Facility		$1,380.38	$3,548.13	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $7,244.36	Facility		$707.95	$870.96	$7,244.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,513.56 / $5,754.40	Facility		$724.44	$1,513.56	$5,754.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $1,513.56	Facility		$1,000.00	$1,318.26	$1,513.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,023.29 / $1,819.70	Facility		$1,000.00	$1,023.29	$1,819.70
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 $4,265.80 / $12,022.64 / $20,892.96	Facility		$4,265.80	$12,022.64	$20,892.96