Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $8,128.31 / $20,892.96	Facility		$1,584.89	$8,128.31	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $5,011.87	Facility		$912.01	$912.01	$5,011.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,137.96 / $10,964.78	Facility		$1,047.13	$2,137.96	$10,964.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $1,659.59	Facility		$1,202.26	$1,621.81	$1,659.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,148.15 / $1,202.26	Facility		$1,096.48	$1,148.15	$1,202.26
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 $2,398.83 / $12,882.50 / $23,442.29	Facility		$2,398.83	$12,882.50	$23,442.29