Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $10,715.19 / $18,620.87	Facility		$588.84	$10,715.19	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $3,981.07	Facility		$1,000.00	$1,230.27	$3,981.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $630.96 / $3,467.37	Facility		$346.74	$630.96	$3,467.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $575.44 / $616.60	Facility		$489.78	$575.44	$616.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $426.58 / $1,862.09	Facility		$407.38	$426.58	$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