Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $6,025.60 / $18,620.87	Facility		$426.58	$6,025.60	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $562.34 / $6,918.31	Facility		$354.81	$562.34	$6,918.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $436.52 / $457.09	Facility		$380.19	$436.52	$457.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $316.23	Facility		$309.03	$309.03	$316.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,677.35 / $8,709.64	Facility		$3,467.37	$4,677.35	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $5,495.41 / $9,332.54	Facility		$1,096.48	$5,495.41	$9,332.54