Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $9,120.11 / $22,908.68	Facility		$870.96	$9,120.11	$22,908.68
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 $512.86 / $954.99 / $4,265.80	Facility		$512.86	$954.99	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $912.01 / $933.25	Facility		$707.95	$912.01	$933.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $645.65 / $977.24	Facility		$630.96	$645.65	$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 $2,454.71 / $11,220.18 / $18,620.87	Facility		$2,454.71	$11,220.18	$18,620.87