Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $6,456.54 / $18,620.87	Facility		$954.99	$6,456.54	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $4,466.84	Facility		$707.95	$758.58	$4,466.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,380.38 / $4,265.80	Facility		$724.44	$1,380.38	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,380.38	Facility		$1,000.00	$1,288.25	$1,380.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $933.25 / $977.24	Facility		$891.25	$933.25	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $9,332.54 / $17,378.01	Facility		$7,079.46	$9,332.54	$17,378.01
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $11,481.54 / $20,892.96	Facility		$4,265.80	$11,481.54	$20,892.96