Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $6,456.54 / $20,892.96	Facility		$776.25	$6,456.54	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $933.25 / $1,995.26	Facility		$891.25	$933.25	$1,995.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $831.76 / $2,041.74	Facility		$416.87	$831.76	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $758.58 / $831.76	Facility		$575.44	$758.58	$831.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $562.34	Facility		$537.03	$537.03	$562.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,570.88 / $8,709.64	Facility		$3,311.31	$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