Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $7,762.47 / $18,620.87	Facility		$1,023.29	$7,762.47	$18,620.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,165.95 / $8,912.51 / $16,218.10	Facility	50	$6,165.95	$8,912.51	$16,218.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $2,454.71	Facility		$912.01	$912.01	$2,454.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,202.26 / $5,754.40	Facility		$831.76	$1,202.26	$5,754.40
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $5,754.40 / $9,332.54 / $16,595.87	Facility	50	$5,754.40	$9,332.54	$16,595.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $912.01 / $1,288.25	Facility		$741.31	$912.01	$1,288.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $933.25	Facility		$616.60	$724.44	$933.25
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
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $7,244.36 / $10,000.00 / $19,054.61	Facility	50	$7,244.36	$10,000.00	$19,054.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $7,413.10 / $13,489.63	Facility		$1,380.38	$7,413.10	$13,489.63