Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $9,772.37 / $23,442.29	Facility		$870.96	$9,772.37	$23,442.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $18,197.01 / $18,197.01	Facility		$18,197.01	$18,197.01	$18,197.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,174.90 / $47,863.01	Facility		$724.44	$1,174.90	$47,863.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $912.01 / $954.99	Facility		$776.25	$912.01	$954.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,908.68 / $30,199.52 / $57,543.99	Facility		$22,908.68	$30,199.52	$57,543.99
United Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $36,307.81 / $63,095.73	Facility		$11,748.98	$36,307.81	$63,095.73