Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $7,943.28 / $21,877.62	Facility		$1,621.81	$7,943.28	$21,877.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $2,187.76	Facility		$707.95	$758.58	$2,187.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,380.38 / $2,454.71	Facility		$870.96	$1,380.38	$2,454.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $1,737.80	Facility		$1,202.26	$1,621.81	$1,737.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,174.90	Facility		$1,122.02	$1,122.02	$1,174.90
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