Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,778.28 / $18,620.87	Facility		$707.95	$1,778.28	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $10,000.00	Facility		$707.95	$758.58	$10,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $758.58 / $6,456.54	Facility		$426.58	$758.58	$6,456.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,047.13	Facility		$707.95	$1,000.00	$1,047.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $2,187.76	Facility		$691.83	$691.83	$2,187.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $20,417.38 / $38,904.51	Facility		$13,803.84	$20,417.38	$38,904.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $21,379.62 / $41,686.94	Facility		$1,995.26	$21,379.62	$41,686.94