Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $7,943.28 / $20,892.96	Facility		$1,318.26	$7,943.28	$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 $891.25 / $1,318.26 / $5,754.40	Facility		$891.25	$1,318.26	$5,754.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $1,412.54	Facility		$1,023.29	$1,348.96	$1,412.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $954.99	Facility		$933.25	$933.25	$954.99
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