Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $2,818.38 / $17,782.79	Facility		$478.63	$2,818.38	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $912.01 / $2,818.38	Facility		$562.34	$912.01	$2,818.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $630.96 / $3,235.94	Facility		$363.08	$630.96	$3,235.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $758.58 / $870.96	Facility		$501.19	$758.58	$870.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $977.24	Facility		$575.44	$575.44	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,128.31 / $15,488.17	Facility		$5,370.32	$8,128.31	$15,488.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $10,232.93 / $16,595.87	Facility		$1,862.09	$10,232.93	$16,595.87