Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $9,332.54 / $16,595.87	Facility		$588.84	$9,332.54	$16,595.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $3,311.31	Facility		$891.25	$1,071.52	$3,311.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $549.54 / $3,467.37	Facility		$295.12	$549.54	$3,467.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $489.78 / $524.81	Facility		$416.87	$489.78	$524.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $354.81 / $1,862.09	Facility		$338.84	$354.81	$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