Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,019.95 / $18,620.87	Facility		$691.83	$3,019.95	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $8,317.64	Facility		$630.96	$758.58	$8,317.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $812.83 / $5,248.07	Facility		$446.68	$812.83	$5,248.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $870.96 / $954.99	Facility		$630.96	$870.96	$954.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $660.69 / $4,168.69	Facility		$645.65	$660.69	$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