Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,981.07 / $18,620.87	Facility		$812.83	$3,981.07	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $3,311.31	Facility		$1,995.26	$1,995.26	$3,311.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,071.52 / $8,317.64	Facility		$602.56	$1,071.52	$8,317.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $831.76 / $870.96	Facility		$645.65	$831.76	$870.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $588.84 / $588.84	Facility		$575.44	$588.84	$588.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $9,120.11 / $17,378.01	Facility		$5,888.44	$9,120.11	$17,378.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $11,481.54 / $19,952.62	Facility		$1,995.26	$11,481.54	$19,952.62