Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $6,025.60 / $18,620.87	Facility		$457.09	$6,025.60	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $588.84 / $9,332.54	Facility		$346.74	$588.84	$9,332.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $467.74 / $489.78	Facility		$398.11	$467.74	$489.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$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 $2,454.71 / $12,882.50 / $22,387.21	Facility		$2,454.71	$12,882.50	$22,387.21