Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $8,128.31 / $20,892.96	Facility		$1,288.25	$8,128.31	$20,892.96
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 $851.14 / $1,318.26 / $5,754.40	Facility		$851.14	$1,318.26	$5,754.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,348.96 / $1,380.38	Facility		$977.24	$1,348.96	$1,380.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $933.25 / $933.25	Facility		$912.01	$933.25	$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
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