Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $7,943.28 / $20,892.96	Facility		$288.40	$7,943.28	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Facility		$10,232.93	$10,232.93	$10,232.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $389.05 / $38,018.94	Facility		$251.19	$389.05	$38,018.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $302.00 / $331.13	Facility		$257.04	$302.00	$331.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $23,988.33 / $45,708.82	Facility		$16,982.44	$23,988.33	$45,708.82
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $28,840.32 / $48,977.88	Facility		$4,677.35	$28,840.32	$48,977.88