Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $524.81 / $17,782.79	Facility		$89.13	$524.81	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $724.44	Facility		$416.87	$416.87	$724.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $107.15 / $173.78	Facility		$66.07	$107.15	$173.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $131.83 / $144.54	Facility		$104.71	$131.83	$144.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,148.15	Facility		$912.01	$912.01	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $645.65 / $5,754.40	Facility		$141.25	$645.65	$5,754.40