Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $7,943.28 / $20,892.96	Facility		$446.68	$7,943.28	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $3,801.89	Facility		$2,290.87	$2,290.87	$3,801.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $562.34 / $9,332.54	Facility		$331.13	$562.34	$9,332.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $467.74 / $478.63	Facility		$398.11	$467.74	$478.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $331.13 / $331.13	Facility		$323.59	$331.13	$331.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $10,715.19 / $20,417.38	Facility		$6,918.31	$10,715.19	$20,417.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $12,882.50 / $22,387.21	Facility		$1,995.26	$12,882.50	$22,387.21