Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $2,344.23 / $16,982.44	Facility		$275.42	$2,344.23	$16,982.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $741.31 / $1,445.44	Facility		$630.96	$741.31	$1,445.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $489.78 / $1,071.52	Facility		$208.93	$489.78	$1,071.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $812.83	Facility		$501.19	$707.95	$812.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $562.34 / $707.95	Facility		$549.54	$562.34	$707.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $4,897.79	Facility		$1,819.70	$2,570.40	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,162.28 / $6,309.57	Facility		$933.25	$3,162.28	$6,309.57