Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $13,182.57 / $28,183.83	Facility		$1,174.90	$13,182.57	$28,183.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $23,988.33	Facility		$14,454.40	$14,454.40	$23,988.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,513.56 / $45,708.82	Facility		$812.83	$1,513.56	$45,708.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,258.93	Facility		$1,023.29	$1,202.26	$1,258.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $851.14 / $851.14	Facility		$812.83	$851.14	$851.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $37,153.52 / $70,794.58	Facility		$28,183.83	$37,153.52	$70,794.58
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $44,668.36 / $77,624.71	Facility		$4,265.80	$44,668.36	$77,624.71