Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $7,762.47 / $20,892.96	Facility		$588.84	$7,762.47	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $15,488.17 / $15,488.17	Facility		$15,488.17	$15,488.17	$15,488.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $794.33 / $38,018.94	Facility		$489.78	$794.33	$38,018.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $616.60 / $645.65	Facility		$524.81	$616.60	$645.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $23,988.33 / $45,708.82	Facility		$17,378.01	$23,988.33	$45,708.82
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $28,840.32 / $48,977.88	Facility		$8,511.38	$28,840.32	$48,977.88