Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $7,413.10 / $17,782.79	Facility		$851.14	$7,413.10	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,122.02 / $2,818.38	Facility		$645.65	$1,122.02	$2,818.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,096.48 / $3,235.94	Facility		$645.65	$1,096.48	$3,235.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,148.15 / $1,288.25	Facility		$794.33	$1,148.15	$1,288.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $977.24	Facility		$870.96	$870.96	$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