Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,818.38 / $18,620.87	Facility		$1,380.38	$2,818.38	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $870.96	Facility		$758.58	$758.58	$870.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,230.27 / $2,290.87	Facility		$794.33	$1,230.27	$2,290.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $1,479.11	Facility		$1,122.02	$1,412.54	$1,479.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,168.69 / $7,943.28	Facility		$3,162.28	$4,168.69	$7,943.28
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