Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $8,128.31 / $18,620.87	Facility		$1,548.82	$8,128.31	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $3,801.89	Facility		$912.01	$912.01	$3,801.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,905.46 / $9,549.93	Facility		$933.25	$1,905.46	$9,549.93
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $9,549.93 / $15,488.17 / $27,542.29	Facility	50	$9,549.93	$15,488.17	$27,542.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $1,621.81	Facility		$1,096.48	$1,479.11	$1,621.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,096.48	Facility		$1,071.52	$1,071.52	$1,096.48
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
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,964.78 / $16,595.87 / $31,622.78	Facility	50	$10,964.78	$16,595.87	$31,622.78
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