Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,513.56 / $17,782.79	Facility		$524.81	$1,513.56	$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 $407.38 / $660.69 / $1,071.52	Facility		$407.38	$660.69	$1,071.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $758.58 / $831.76	Facility		$489.78	$758.58	$831.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $549.54 / $562.34	Facility		$354.81	$549.54	$562.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $3,388.44	Facility		$1,202.26	$1,778.28	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,570.40 / $5,754.40	Facility		$501.19	$2,570.40	$5,754.40