Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $6,025.60 / $21,379.62	Facility		$724.44	$6,025.60	$21,379.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $10,232.93	Facility		$630.96	$758.58	$10,232.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $831.76 / $9,549.93	Facility		$457.09	$831.76	$9,549.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $776.25	Facility		$630.96	$758.58	$776.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $524.81 / $6,165.95	Facility		$512.86	$524.81	$6,165.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $16,218.10 / $30,902.95	Facility		$10,715.19	$16,218.10	$30,902.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $17,378.01 / $33,884.42	Facility		$1,548.82	$17,378.01	$33,884.42