Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $6,025.60 / $18,620.87	Facility		$426.58	$6,025.60	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $2,454.71	Facility		$501.19	$870.96	$2,454.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $489.78 / $2,137.96	Facility		$275.42	$489.78	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $436.52 / $457.09	Facility		$371.54	$436.52	$457.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $309.03 / $1,230.27	Facility		$302.00	$309.03	$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