Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $8,128.31 / $20,892.96	Facility		$831.76	$8,128.31	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $4,466.84	Facility		$891.25	$1,071.52	$4,466.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $891.25 / $4,265.80	Facility		$457.09	$891.25	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $812.83 / $891.25	Facility		$676.08	$812.83	$891.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $602.56 / $977.24	Facility		$575.44	$602.56	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $9,120.11 / $17,378.01	Facility		$6,760.83	$9,120.11	$17,378.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $11,220.18 / $18,620.87	Facility		$2,454.71	$11,220.18	$18,620.87