Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $724.44 / $17,782.79	Facility		$223.87	$724.44	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $562.34 / $912.01	Facility		$512.86	$562.34	$912.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $295.12 / $549.54	Facility		$173.78	$295.12	$549.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $389.05 / $416.87	Facility		$263.03	$389.05	$416.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $281.84 / $281.84	Facility		$229.09	$281.84	$281.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,137.96	Facility		$776.25	$1,122.02	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,513.56 / $3,235.94	Facility		$501.19	$1,513.56	$3,235.94