Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,290.87 / $17,782.79	Facility		$758.58	$2,290.87	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $1,862.09	Facility		$467.74	$562.34	$1,862.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $891.25 / $1,412.54	Facility		$501.19	$891.25	$1,412.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $977.24 / $1,047.13	Facility		$707.95	$977.24	$1,047.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $724.44 / $954.99	Facility		$707.95	$724.44	$954.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,365.16 / $8,317.64	Facility		$2,884.03	$4,365.16	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $4,897.79 / $8,709.64	Facility		$933.25	$4,897.79	$8,709.64