Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,174.90 / $17,782.79	Facility		$501.19	$1,174.90	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $3,388.44	Facility		$467.74	$562.34	$3,388.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $588.84 / $2,238.72	Facility		$309.03	$588.84	$2,238.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $831.76 / $891.25	Facility		$562.34	$831.76	$891.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $741.31	Facility		$602.56	$602.56	$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 $1,995.26 / $10,000.00 / $16,595.87	Facility		$1,995.26	$10,000.00	$16,595.87