Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $4,677.35 / $18,620.87	Facility		$870.96	$4,677.35	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $676.08 / $3,715.35	Facility		$630.96	$676.08	$3,715.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $933.25 / $4,265.80	Facility		$478.63	$933.25	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $851.14 / $933.25	Facility		$616.60	$851.14	$933.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $630.96 / $977.24	Facility		$616.60	$630.96	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $9,120.11 / $17,378.01	Facility		$6,165.95	$9,120.11	$17,378.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,471.29 / $18,620.87	Facility		$1,995.26	$10,471.29	$18,620.87