Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $7,943.28 / $20,892.96	Facility		$1,202.26	$7,943.28	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $2,884.03	Facility		$1,023.29	$1,023.29	$2,884.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,445.44 / $5,888.44	Facility		$794.33	$1,445.44	$5,888.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,288.25	Facility		$933.25	$1,202.26	$1,288.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $870.96 / $1,023.29	Facility		$851.14	$870.96	$1,023.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,918.31 / $12,589.25	Facility		$5,011.87	$6,918.31	$12,589.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $7,244.36 / $13,182.57	Facility		$1,380.38	$7,244.36	$13,182.57