Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,235.94 / $17,782.79	Facility		$812.83	$3,235.94	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $4,466.84	Facility		$891.25	$1,071.52	$4,466.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $2,884.03	Facility		$501.19	$870.96	$2,884.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,230.27	Facility		$812.83	$1,148.15	$1,230.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $831.76 / $977.24	Facility		$812.83	$831.76	$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