Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,943.28 / $20,892.96	Facility		$2,137.96	$7,943.28	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $6,918.31	Facility		$4,168.69	$4,168.69	$6,918.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,691.53 / $15,848.93	Facility		$1,479.11	$2,691.53	$15,848.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $2,238.72	Facility		$1,584.89	$2,089.30	$2,238.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,548.82 / $1,548.82	Facility		$1,513.56	$1,548.82	$1,548.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $16,595.87 / $31,622.78	Facility		$10,964.78	$16,595.87	$31,622.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $20,417.38 / $35,481.34	Facility		$3,467.37	$20,417.38	$35,481.34