Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,949.84 / $18,620.87	Facility		$812.83	$1,949.84	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $3,630.78	Facility		$2,187.76	$2,187.76	$3,630.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,096.48 / $4,168.69	Facility		$562.34	$1,096.48	$4,168.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,174.90	Facility		$724.44	$1,047.13	$1,174.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $10,715.19 / $20,892.96	Facility		$7,079.46	$10,715.19	$20,892.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $13,489.63 / $23,442.29	Facility		$1,995.26	$13,489.63	$23,442.29