Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,513.56 / $17,782.79	Facility		$275.42	$1,513.56	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $3,981.07	Facility		$630.96	$758.58	$3,981.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $346.74 / $2,818.38	Facility		$181.97	$346.74	$2,818.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $426.58 / $489.78	Facility		$295.12	$426.58	$489.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $331.13 / $1,862.09	Facility		$323.59	$331.13	$1,862.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $9,120.11 / $17,378.01	Facility		$5,888.44	$9,120.11	$17,378.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $10,232.93 / $18,620.87	Facility		$1,548.82	$10,232.93	$18,620.87