Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $2,884.03 / $17,782.79	Facility		$380.19	$2,884.03	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $501.19 / $1,995.26	Facility		$467.74	$501.19	$1,995.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $407.38 / $2,290.87	Facility		$208.93	$407.38	$2,290.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $380.19 / $398.11	Facility		$281.84	$380.19	$398.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $275.42 / $537.03	Facility		$263.03	$275.42	$537.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $4,570.88 / $8,709.64	Facility		$3,019.95	$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