Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $3,981.07 / $17,782.79	Facility		$288.40	$3,981.07	$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 $208.93 / $371.54 / $1,995.26	Facility		$208.93	$371.54	$1,995.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $309.03 / $630.96	Facility		$251.19	$309.03	$630.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $213.80 / $1,230.27	Facility		$208.93	$213.80	$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