Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $6,025.60 / $18,620.87	Facility		$891.25	$6,025.60	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $3,630.78	Facility		$2,187.76	$2,187.76	$3,630.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,122.02 / $9,549.93	Facility		$616.60	$1,122.02	$9,549.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $891.25 / $954.99	Facility		$660.69	$891.25	$954.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $645.65 / $645.65	Facility		$630.96	$645.65	$645.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $10,715.19 / $20,892.96	Facility		$7,079.46	$10,715.19	$20,892.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $13,489.63 / $23,442.29	Facility		$1,995.26	$13,489.63	$23,442.29