Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,000.00 / $17,782.79	Facility		$204.17	$1,000.00	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $2,041.74	Facility		$467.74	$562.34	$2,041.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $346.74 / $1,659.59	Facility		$154.88	$346.74	$1,659.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $489.78 / $524.81	Facility		$323.59	$489.78	$524.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $363.08 / $1,230.27	Facility		$354.81	$363.08	$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