Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $4,677.35 / $18,620.87	Facility		$363.08	$4,677.35	$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 $295.12 / $467.74 / $9,332.54	Facility		$295.12	$467.74	$9,332.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $380.19 / $389.05	Facility		$316.23	$380.19	$389.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
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