Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,737.80 / $17,782.79	Facility		$204.17	$1,737.80	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $2,454.71	Facility		$467.74	$562.34	$2,454.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $380.19 / $1,659.59	Facility		$151.36	$380.19	$1,659.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $630.96 / $707.95	Facility		$407.38	$630.96	$707.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $501.19 / $1,230.27	Facility		$489.78	$501.19	$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