Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $6,025.60 / $18,620.87	Facility		$436.52	$6,025.60	$18,620.87
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 $295.12 / $512.86 / $2,137.96	Facility		$295.12	$512.86	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $457.09 / $478.63	Facility		$389.05	$457.09	$478.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $323.59 / $1,230.27	Facility		$316.23	$323.59	$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