Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $10,232.93 / $64,565.42	Facility		$707.95	$10,232.93	$64,565.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44,668.36 / $44,668.36 / $44,668.36	Facility		$44,668.36	$44,668.36	$44,668.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $954.99 / $107,151.93	Facility		$588.84	$954.99	$107,151.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $724.44 / $758.58	Facility		$630.96	$724.44	$758.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $51,286.14 / $66,069.34 / $128,824.96	Facility		$51,286.14	$66,069.34	$128,824.96
United Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $77,624.71 / $131,825.67	Facility		$33,884.42	$77,624.71	$131,825.67