Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,025.60 / $18,620.87	Facility		$1,698.24	$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 $1,122.02 / $1,513.56 / $5,888.44	Facility		$1,122.02	$1,513.56	$5,888.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $1,778.28	Facility		$1,318.26	$1,737.80	$1,778.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,174.90 / $1,230.27	Facility		$1,122.02	$1,174.90	$1,230.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,760.83 / $12,589.25	Facility		$5,011.87	$6,760.83	$12,589.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $7,762.47 / $13,182.57	Facility		$1,698.24	$7,762.47	$13,182.57