Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $6,025.60 / $18,620.87	Facility		$436.52	$6,025.60	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $870.96	Facility		$707.95	$758.58	$870.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $457.09 / $1,819.70	Facility		$234.42	$457.09	$1,819.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $457.09 / $478.63	Facility		$354.81	$457.09	$478.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $331.13 / $537.03	Facility		$323.59	$331.13	$537.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,570.88 / $8,709.64	Facility		$2,951.21	$4,570.88	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,495.41 / $9,120.11	Facility		$1,122.02	$5,495.41	$9,120.11