Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $7,943.28 / $20,892.96	Facility		$676.08	$7,943.28	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $14,791.08 / $14,791.08	Facility		$14,791.08	$14,791.08	$14,791.08
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 / $724.44	Facility		$602.56	$707.95	$724.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $501.19	Facility		$489.78	$489.78	$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