Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $7,762.47 / $20,892.96	Facility		$1,621.81	$7,762.47	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $3,801.89	Facility		$741.31	$741.31	$3,801.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,949.84 / $9,549.93	Facility		$912.01	$1,949.84	$9,549.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $1,698.24	Facility		$1,047.13	$1,479.11	$1,698.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,174.90 / $1,445.44	Facility		$1,148.15	$1,174.90	$1,445.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $10,964.78 / $20,892.96	Facility		$7,943.28	$10,964.78	$20,892.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $12,022.64 / $22,387.21	Facility		$1,698.24	$12,022.64	$22,387.21