Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,778.28 / $18,620.87	Facility		$794.33	$1,778.28	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $3,715.35	Facility		$707.95	$758.58	$3,715.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $851.14 / $2,884.03	Facility		$489.78	$851.14	$2,884.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,174.90	Facility		$812.83	$1,096.48	$1,174.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $794.33 / $977.24	Facility		$776.25	$794.33	$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