Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,737.80 / $17,782.79	Facility		$691.83	$1,737.80	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $6,918.31	Facility		$467.74	$562.34	$6,918.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $776.25 / $5,248.07	Facility		$436.52	$776.25	$5,248.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $851.14 / $933.25	Facility		$616.60	$851.14	$933.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $4,168.69	Facility		$645.65	$645.65	$4,168.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $16,595.87 / $31,622.78	Facility		$10,964.78	$16,595.87	$31,622.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $16,982.44 / $33,113.11	Facility		$1,548.82	$16,982.44	$33,113.11