Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $7,943.28 / $20,892.96	Facility		$954.99	$7,943.28	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $933.25 / $8,317.64	Facility		$891.25	$933.25	$8,317.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,047.13 / $8,128.31	Facility		$512.86	$1,047.13	$8,128.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $977.24 / $1,023.29	Facility		$794.33	$977.24	$1,023.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $707.95 / $2,884.03	Facility		$676.08	$707.95	$2,884.03
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