Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,818.38 / $17,782.79	Facility		$537.03	$2,818.38	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $676.08 / $3,715.35	Facility		$630.96	$676.08	$3,715.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $616.60 / $2,884.03	Facility		$288.40	$616.60	$2,884.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $870.96 / $1,023.29	Facility		$602.56	$870.96	$1,023.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $691.83 / $977.24	Facility		$602.56	$691.83	$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