Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,000.00 / $17,782.79	Facility		$165.96	$1,000.00	$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 $120.23 / $194.98 / $288.40	Facility		$120.23	$194.98	$288.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $223.87 / $239.88	Facility		$173.78	$223.87	$239.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
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