Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,513.56 / $17,782.79	Facility		$707.95	$1,513.56	$17,782.79
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 / $776.25 / $2,884.03	Facility		$436.52	$776.25	$2,884.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,096.48	Facility		$724.44	$1,047.13	$1,096.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $977.24	Facility		$741.31	$741.31	$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