Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $831.76 / $17,782.79	Facility		$181.97	$831.76	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $218.78	Facility		$181.97	$181.97	$218.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $165.96 / $309.03	Facility		$100.00	$165.96	$309.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $223.87 / $257.04	Facility		$162.18	$223.87	$257.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $165.96 / $177.83	Facility		$162.18	$165.96	$177.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $660.69 / $1,288.25	Facility		$436.52	$660.69	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $912.01 / $1,949.84	Facility		$416.87	$912.01	$1,949.84