Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $7,943.28 / $24,547.09	Facility		$3,162.28	$7,943.28	$24,547.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,981.07 / $15,848.93	Facility		$2,238.72	$3,981.07	$15,848.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,235.94 / $3,388.44	Facility		$2,398.83	$3,235.94	$3,388.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
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