Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $6,025.60 / $18,620.87	Facility		$1,096.48	$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 $616.60 / $1,148.15 / $2,454.71	Facility		$616.60	$1,148.15	$2,454.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,174.90	Facility		$831.76	$1,122.02	$1,174.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $794.33	Facility		$776.25	$776.25	$794.33
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
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