Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $6,025.60 / $18,620.87	Facility		$1,445.44	$6,025.60	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $2,630.27	Facility		$630.96	$758.58	$2,630.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,258.93 / $2,454.71	Facility		$676.08	$1,258.93	$2,454.71
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $4,786.30 / $7,943.28 / $14,125.38	Facility	50	$4,786.30	$7,943.28	$14,125.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,380.38 / $1,548.82	Facility		$977.24	$1,380.38	$1,548.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,071.52	Facility		$1,023.29	$1,023.29	$1,071.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,495.41 / $10,471.29	Facility		$3,890.45	$5,495.41	$10,471.29
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $5,888.44 / $8,128.31 / $15,848.93	Facility	50	$5,888.44	$8,128.31	$15,848.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,760.83 / $11,220.18	Facility		$1,995.26	$6,760.83	$11,220.18