Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $3,162.28 / $17,782.79	Facility		$288.40	$3,162.28	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $3,388.44	Facility		$707.95	$870.96	$3,388.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $371.54 / $2,238.72	Facility		$181.97	$371.54	$2,238.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $549.54 / $616.60	Facility		$380.19	$549.54	$616.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $741.31	Facility		$416.87	$416.87	$741.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,128.31 / $15,488.17	Facility		$5,370.32	$8,128.31	$15,488.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $8,511.38 / $16,595.87	Facility		$1,122.02	$8,511.38	$16,595.87