Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $7,079.46 / $17,782.79	Facility		$416.87	$7,079.46	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $912.01 / $2,454.71	Facility		$707.95	$912.01	$2,454.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $489.78 / $2,137.96	Facility		$288.40	$489.78	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $436.52 / $489.78	Facility		$363.08	$436.52	$489.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $302.00 / $1,230.27	Facility		$295.12	$302.00	$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