Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $3,548.13 / $18,620.87	Facility		$263.03	$3,548.13	$18,620.87
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 $190.55 / $331.13 / $2,137.96	Facility		$190.55	$331.13	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $269.15 / $338.84	Facility		$229.09	$269.15	$338.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $190.55 / $1,230.27	Facility		$186.21	$190.55	$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