Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,737.80 / $18,620.87	Facility		$645.65	$1,737.80	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $933.25 / $10,000.00	Facility		$891.25	$933.25	$10,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $724.44 / $6,456.54	Facility		$398.11	$724.44	$6,456.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $977.24 / $1,023.29	Facility		$691.83	$977.24	$1,023.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $691.83 / $2,187.76	Facility		$676.08	$691.83	$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