Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,981.07 / $17,782.79	Facility		$707.95	$3,981.07	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $501.19 / $3,715.35	Facility		$467.74	$501.19	$3,715.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $776.25 / $4,265.80	Facility		$407.38	$776.25	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $758.58	Facility		$616.60	$724.44	$758.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $512.86 / $977.24	Facility		$489.78	$512.86	$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