Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $9,772.37 / $24,547.09	Facility		$2,290.87	$9,772.37	$24,547.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,620.87 / $19,498.45 / $37,153.52	Facility		$18,620.87	$19,498.45	$37,153.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,019.95 / $23,988.33	Facility		$1,995.26	$3,019.95	$23,988.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $2,630.27	Facility		$2,137.96	$2,511.89	$2,630.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $16,218.10 / $30,902.95	Facility		$11,748.98	$16,218.10	$30,902.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $20,892.96 / $33,884.42	Facility		$4,677.35	$20,892.96	$33,884.42