Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $9,120.11 / $18,620.87	Facility		$660.69	$9,120.11	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $4,466.84	Facility		$707.95	$870.96	$4,466.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $724.44 / $4,265.80	Facility		$389.05	$724.44	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $676.08 / $707.95	Facility		$562.34	$676.08	$707.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $478.63 / $977.24	Facility		$457.09	$478.63	$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