Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $7,943.28 / $20,892.96	Facility		$794.33	$7,943.28	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $10,000.00	Facility		$707.95	$870.96	$10,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $851.14 / $8,128.31	Facility		$446.68	$851.14	$8,128.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $812.83 / $851.14	Facility		$645.65	$812.83	$851.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $575.44 / $2,187.76	Facility		$562.34	$575.44	$2,187.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $20,417.38 / $38,904.51	Facility		$13,803.84	$20,417.38	$38,904.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $21,379.62 / $41,686.94	Facility		$2,454.71	$21,379.62	$41,686.94