Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,513.56 / $17,782.79	Facility		$724.44	$1,513.56	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $2,398.83	Facility		$630.96	$758.58	$2,398.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $891.25 / $1,621.81	Facility		$524.81	$891.25	$1,621.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,122.02	Facility		$776.25	$1,047.13	$1,122.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $776.25	Facility		$741.31	$741.31	$776.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,570.88 / $8,709.64	Facility		$2,951.21	$4,570.88	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,495.41 / $9,120.11	Facility		$1,122.02	$5,495.41	$9,120.11