Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $8,128.31 / $21,877.62	Facility		$691.83	$8,128.31	$21,877.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $14,125.38	Facility		$14,125.38	$14,125.38	$14,125.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $912.01 / $38,018.94	Facility		$562.34	$912.01	$38,018.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $707.95 / $741.31	Facility		$602.56	$707.95	$741.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
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