Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,548.13 / $18,620.87	Facility		$870.96	$3,548.13	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $2,398.83	Facility		$891.25	$1,071.52	$2,398.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $891.25 / $2,290.87	Facility		$457.09	$891.25	$2,290.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $812.83 / $912.01	Facility		$630.96	$812.83	$912.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $616.60	Facility		$588.84	$588.84	$616.60
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