Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,174.90 / $18,620.87	Facility		$602.56	$1,174.90	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,288.25 / $2,344.23	Facility		$794.33	$1,288.25	$2,344.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $812.83 / $2,951.21	Facility		$489.78	$812.83	$2,951.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $831.76 / $912.01	Facility		$602.56	$831.76	$912.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $616.60 / $758.58	Facility		$602.56	$616.60	$758.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,128.61 / $10,000.00	Facility		$3,801.89	$5,128.61	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $6,918.31 / $11,748.98	Facility		$1,047.13	$6,918.31	$11,748.98