Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $5,370.32 / $21,877.62	Facility		$426.58	$5,370.32	$21,877.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Facility		$13,182.57	$13,182.57	$13,182.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $575.44 / $38,018.94	Facility		$354.81	$575.44	$38,018.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $446.68 / $467.74	Facility		$380.19	$446.68	$467.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
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 $3,311.31 / $28,840.32 / $48,977.88	Facility		$3,311.31	$28,840.32	$48,977.88