Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $7,943.28 / $20,892.96	Facility		$1,737.80	$7,943.28	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $5,011.87	Facility		$741.31	$741.31	$5,011.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,238.72 / $10,964.78	Facility		$1,000.00	$2,238.72	$10,964.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $1,819.70	Facility		$1,148.15	$1,659.59	$1,819.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,230.27	Facility		$1,202.26	$1,202.26	$1,230.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $11,481.54 / $21,877.62	Facility		$8,317.64	$11,481.54	$21,877.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $11,748.98 / $23,442.29	Facility		$1,380.38	$11,748.98	$23,442.29