Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $7,762.47 / $20,892.96	Facility		$1,737.80	$7,762.47	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $3,801.89	Facility		$741.31	$741.31	$3,801.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,041.74 / $9,549.93	Facility		$1,174.90	$2,041.74	$9,549.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $1,819.70	Facility		$1,348.96	$1,778.28	$1,819.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,258.93	Facility		$1,202.26	$1,202.26	$1,258.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $10,964.78 / $20,892.96	Facility		$7,244.36	$10,964.78	$20,892.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $12,022.64 / $22,387.21	Facility		$1,698.24	$12,022.64	$22,387.21