Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $8,709.64 / $21,379.62	Facility		$398.11	$8,709.64	$21,379.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $10,000.00	Facility		$501.19	$870.96	$10,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $467.74 / $9,549.93	Facility		$269.15	$467.74	$9,549.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $416.87 / $436.52	Facility		$354.81	$416.87	$436.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $295.12 / $5,888.44	Facility		$288.40	$295.12	$5,888.44
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 $2,137.96 / $17,378.01 / $33,884.42	Facility		$2,137.96	$17,378.01	$33,884.42