Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $4,677.35 / $20,892.96	Facility		$891.25	$4,677.35	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $2,398.83	Facility		$707.95	$870.96	$2,398.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,148.15 / $2,290.87	Facility		$676.08	$1,148.15	$2,290.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,318.26	Facility		$870.96	$1,202.26	$1,318.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $912.01	Facility		$891.25	$891.25	$912.01
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