Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $7,762.47 / $20,892.96	Facility		$245.47	$7,762.47	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,995.26 / $2,290.87	Facility		$707.95	$1,995.26	$2,290.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $194.98 / $338.84	Facility		$141.25	$194.98	$338.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $251.19 / $275.42	Facility		$218.78	$251.19	$275.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $10,964.78	Facility		$8,709.64	$8,709.64	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $549.54 / $5,754.40	Facility		$158.49	$549.54	$5,754.40