Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $5,888.44 / $20,892.96	Facility		$707.95	$5,888.44	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $1,995.26	Facility		$707.95	$870.96	$1,995.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $977.24 / $1,905.46	Facility		$537.03	$977.24	$1,905.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,071.52	Facility		$741.31	$1,000.00	$1,071.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $724.44	Facility		$691.83	$691.83	$724.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,570.88 / $8,709.64	Facility		$3,235.94	$4,570.88	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,754.40 / $9,332.54	Facility		$1,122.02	$5,754.40	$9,332.54