Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $10,232.93 / $24,547.09	Facility		$2,818.38	$10,232.93	$24,547.09
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 $1,949.84 / $3,548.13 / $15,848.93	Facility		$1,949.84	$3,548.13	$15,848.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $2,951.21	Facility		$2,137.96	$2,754.23	$2,951.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
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