Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $6,025.60 / $18,620.87	Facility		$371.54	$6,025.60	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $2,454.71	Facility		$501.19	$870.96	$2,454.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $407.38 / $3,162.28	Facility		$234.42	$407.38	$3,162.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $380.19 / $389.05	Facility		$323.59	$380.19	$389.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $269.15 / $2,454.71	Facility		$257.04	$269.15	$2,454.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,623.41 / $10,471.29	Facility		$4,073.80	$5,623.41	$10,471.29
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