Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $5,128.61 / $20,892.96	Facility		$190.55	$5,128.61	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $870.96	Facility		$707.95	$758.58	$870.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $147.91 / $251.19	Facility		$109.65	$147.91	$251.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $194.98 / $204.17	Facility		$158.49	$194.98	$204.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $138.04	Facility		$134.90	$134.90	$138.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $10,000.00	Facility		$7,943.28	$7,943.28	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $549.54 / $5,754.40	Facility		$158.49	$549.54	$5,754.40