Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $4,073.80 / $10,715.19	Facility		$758.58	$4,073.80	$10,715.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $2,398.83	Facility		$630.96	$758.58	$2,398.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $851.14 / $1,584.89	Facility		$501.19	$851.14	$1,584.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $977.24 / $1,071.52	Facility		$724.44	$977.24	$1,071.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $741.31	Facility		$707.95	$707.95	$741.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,570.88 / $8,709.64	Facility		$2,951.21	$4,570.88	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $5,495.41 / $9,120.11	Facility		$416.87	$5,495.41	$9,120.11