Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $7,762.47 / $20,892.96	Facility		$1,513.56	$7,762.47	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,884.03	Facility		$1,905.46	$1,905.46	$2,884.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,412.54 / $3,235.94	Facility		$851.14	$1,412.54	$3,235.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $1,584.89	Facility		$1,258.93	$1,479.11	$1,584.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,071.52 / $1,071.52	Facility		$1,047.13	$1,071.52	$1,071.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $6,606.93 / $12,589.25	Facility		$4,786.30	$6,606.93	$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