Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,949.84 / $20,892.96	Facility		$776.25	$1,949.84	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $10,000.00	Facility		$891.25	$1,071.52	$10,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $870.96 / $6,456.54	Facility		$489.78	$870.96	$6,456.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,174.90 / $1,230.27	Facility		$812.83	$1,174.90	$1,230.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $831.76 / $2,187.76	Facility		$812.83	$831.76	$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