Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,778.28 / $18,620.87	Facility		$257.04	$1,778.28	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,122.02	Facility		$645.65	$645.65	$1,122.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $316.23 / $524.81	Facility		$194.98	$316.23	$524.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $398.11 / $436.52	Facility		$288.40	$398.11	$436.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $288.40	Facility		$281.84	$281.84	$288.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,365.16	Facility		$3,467.37	$3,467.37	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $645.65 / $5,754.40	Facility		$141.25	$645.65	$5,754.40