Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $12,302.69 / $26,302.68	Facility		$794.33	$12,302.69	$26,302.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $912.01 / $8,317.64	Facility		$707.95	$912.01	$8,317.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $7,079.46	Facility		$501.19	$870.96	$7,079.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $794.33 / $851.14	Facility		$676.08	$794.33	$851.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $575.44 / $4,168.69	Facility		$562.34	$575.44	$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 $2,884.03 / $17,378.01 / $33,113.11	Facility		$2,884.03	$17,378.01	$33,113.11