Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $7,762.47 / $20,892.96	Facility		$870.96	$7,762.47	$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 $380.19 / $851.14 / $2,041.74	Facility		$380.19	$851.14	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $776.25 / $933.25	Facility		$549.54	$776.25	$933.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $630.96	Facility		$616.60	$616.60	$630.96
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