Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,737.80 / $20,892.96	Facility		$501.19	$1,737.80	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,122.02	Facility		$645.65	$645.65	$1,122.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $537.03 / $676.08	Facility		$354.81	$537.03	$676.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $512.86 / $537.03	Facility		$398.11	$512.86	$537.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $371.54	Facility		$363.08	$363.08	$371.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,466.84 / $7,244.36	Facility		$2,137.96	$4,466.84	$7,244.36