Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $7,079.46 / $17,782.79	Facility		$501.19	$7,079.46	$17,782.79
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 $331.13 / $575.44 / $2,137.96	Facility		$331.13	$575.44	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $512.86 / $537.03	Facility		$436.52	$512.86	$537.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $363.08 / $1,230.27	Facility		$354.81	$363.08	$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