Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $6,456.54 / $20,892.96	Facility		$630.96	$6,456.54	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Facility		$15,135.61	$15,135.61	$15,135.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $831.76 / $38,018.94	Facility		$512.86	$831.76	$38,018.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $645.65 / $676.08	Facility		$549.54	$645.65	$676.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
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