Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $10,232.93 / $28,183.83	Facility		$2,570.40	$10,232.93	$28,183.83
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 $1,819.70 / $3,235.94 / $15,848.93	Facility		$1,819.70	$3,235.94	$15,848.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,570.40 / $2,691.53	Facility		$2,089.30	$2,570.40	$2,691.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,862.09 / $1,862.09	Facility		$1,819.70	$1,862.09	$1,862.09
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