Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $3,548.13 / $18,620.87	Facility		$288.40	$3,548.13	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $2,041.74	Facility		$501.19	$870.96	$2,041.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $316.23 / $2,137.96	Facility		$154.88	$316.23	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $302.00 / $309.03	Facility		$245.47	$302.00	$309.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $213.80 / $1,230.27	Facility		$204.17	$213.80	$1,230.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $5,370.32 / $10,232.93	Facility		$3,630.78	$5,370.32	$10,232.93
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $6,025.60 / $10,715.19	Facility		$933.25	$6,025.60	$10,715.19