Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,479.11 / $17,782.79	Facility		$245.47	$1,479.11	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $512.86 / $912.01	Facility		$331.13	$512.86	$912.01
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 $251.19 / $354.81 / $398.11	Facility		$251.19	$354.81	$398.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $263.03 / $269.15	Facility		$229.09	$263.03	$269.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,137.96	Facility		$776.25	$1,122.02	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,513.56 / $3,235.94	Facility		$501.19	$1,513.56	$3,235.94