Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $9,120.11 / $28,183.83	Facility		$1,096.48	$9,120.11	$28,183.83
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 $1,000.00 / $1,445.44 / $48,977.88	Facility		$1,000.00	$1,445.44	$48,977.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,174.90 / $1,258.93	Facility		$1,023.29	$1,174.90	$1,258.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21,877.62 / $30,902.95 / $60,255.96	Facility		$21,877.62	$30,902.95	$60,255.96
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $40,738.03 / $69,183.10	Facility		$4,677.35	$40,738.03	$69,183.10