Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $912.01 / $9,772.37	Facility		$457.09	$912.01	$9,772.37
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $524.81 / $524.81 / $831.76	Facility	54	$524.81	$524.81	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $467.74 / $562.34	Facility		$302.00	$467.74	$562.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $501.19 / $912.01	Facility		$269.15	$501.19	$912.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $691.83 / $794.33	Facility		$501.19	$691.83	$794.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $512.86 / $537.03	Facility		$234.42	$512.86	$537.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $660.69 / $1,288.25	Facility		$436.52	$660.69	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $912.01 / $1,949.84	Facility		$416.87	$912.01	$1,949.84