Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $6,025.60 / $18,620.87	Facility		$794.33	$6,025.60	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $7,762.47	Facility		$630.96	$758.58	$7,762.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $954.99 / $6,309.57	Facility		$549.54	$954.99	$6,309.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $831.76 / $891.25	Facility		$691.83	$831.76	$891.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $588.84 / $3,715.35	Facility		$575.44	$588.84	$3,715.35
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