Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $6,025.60 / $18,620.87	Facility		$933.25	$6,025.60	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $4,466.84	Facility		$630.96	$758.58	$4,466.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,000.00 / $4,265.80	Facility		$512.86	$1,000.00	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $933.25 / $1,000.00	Facility		$758.58	$933.25	$1,000.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $676.08 / $977.24	Facility		$660.69	$676.08	$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