Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $8,709.64 / $21,877.62	Facility		$1,445.44	$8,709.64	$21,877.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $2,884.03	Facility		$1,174.90	$1,174.90	$2,884.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,513.56 / $5,888.44	Facility		$933.25	$1,513.56	$5,888.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $1,513.56	Facility		$1,071.52	$1,445.44	$1,513.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,047.13 / $1,047.13	Facility		$1,000.00	$1,047.13	$1,047.13
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