Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,698.24 / $17,782.79	Facility		$331.13	$1,698.24	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $2,454.71	Facility		$630.96	$758.58	$2,454.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $630.96 / $1,905.46	Facility		$239.88	$630.96	$1,905.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,122.02 / $1,202.26	Facility		$380.19	$1,122.02	$1,202.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $831.76 / $1,230.27	Facility		$812.83	$831.76	$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