Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $6,025.60 / $18,620.87	Facility		$380.19	$6,025.60	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $7,943.28	Facility		$4,786.30	$4,786.30	$7,943.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $478.63 / $16,982.44	Facility		$302.00	$478.63	$16,982.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $389.05 / $407.38	Facility		$331.13	$389.05	$407.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $19,498.45 / $37,153.52	Facility		$12,882.50	$19,498.45	$37,153.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $24,547.09 / $42,657.95	Facility		$2,454.71	$24,547.09	$42,657.95