Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $6,025.60 / $18,620.87	Facility		$776.25	$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 $436.52 / $851.14 / $4,265.80	Facility		$436.52	$851.14	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $776.25 / $831.76	Facility		$616.60	$776.25	$831.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $562.34 / $977.24	Facility		$549.54	$562.34	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $9,120.11 / $17,378.01	Facility		$6,760.83	$9,120.11	$17,378.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $11,220.18 / $18,620.87	Facility		$2,454.71	$11,220.18	$18,620.87