Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $5,128.61 / $18,620.87	Facility		$676.08	$5,128.61	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $1,995.26	Facility		$630.96	$758.58	$1,995.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $724.44 / $1,905.46	Facility		$371.54	$724.44	$1,905.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $660.69 / $724.44	Facility		$549.54	$660.69	$724.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $489.78	Facility		$478.63	$478.63	$489.78
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