Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $9,120.11 / $19,054.61	Facility		$489.78	$9,120.11	$19,054.61
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 $354.81 / $616.60 / $9,332.54	Facility		$354.81	$616.60	$9,332.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $512.86 / $524.81	Facility		$426.58	$512.86	$524.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $354.81 / $354.81	Facility		$346.74	$354.81	$354.81
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