Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $6,025.60 / $18,620.87	Facility		$691.83	$6,025.60	$18,620.87
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 $346.74 / $758.58 / $3,890.45	Facility		$346.74	$758.58	$3,890.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $691.83 / $794.33	Facility		$501.19	$691.83	$794.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $537.03 / $977.24	Facility		$524.81	$537.03	$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