Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,000.00 / $17,782.79	Facility		$257.04	$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 $194.98 / $295.12 / $371.54	Facility		$194.98	$295.12	$371.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $281.84 / $302.00	Facility		$218.78	$281.84	$302.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $199.53	Facility		$194.98	$194.98	$199.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $724.44	Facility		$575.44	$575.44	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $645.65 / $5,754.40	Facility		$141.25	$645.65	$5,754.40