Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $11,481.54 / $27,542.29	Facility		$3,019.95	$11,481.54	$27,542.29
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 $2,089.30 / $3,715.35 / $15,848.93	Facility		$2,089.30	$3,715.35	$15,848.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,951.21 / $3,162.28	Facility		$2,238.72	$2,951.21	$3,162.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
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