Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,513.56 / $17,782.79	Facility		$151.36	$1,513.56	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $912.01	Facility		$562.34	$562.34	$912.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $190.55 / $354.81	Facility		$112.20	$190.55	$354.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $269.15 / $288.40	Facility		$190.55	$269.15	$288.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $3,235.94	Facility		$2,570.40	$2,570.40	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $645.65 / $5,754.40	Facility		$141.25	$645.65	$5,754.40