Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $6,025.60 / $18,620.87	Facility		$1,348.96	$6,025.60	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $2,884.03	Facility		$645.65	$645.65	$2,884.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,479.11 / $5,888.44	Facility		$776.25	$1,479.11	$5,888.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,412.54	Facility		$891.25	$1,258.93	$1,412.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $977.24	Facility		$954.99	$954.99	$977.24
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