Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $4,677.35 / $20,892.96	Facility		$794.33	$4,677.35	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $5,370.32	Facility		$501.19	$870.96	$5,370.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $933.25 / $4,677.35	Facility		$524.81	$933.25	$4,677.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $831.76 / $851.14	Facility		$707.95	$831.76	$851.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $588.84 / $2,454.71	Facility		$575.44	$588.84	$2,454.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $10,964.78 / $20,892.96	Facility		$7,079.46	$10,964.78	$20,892.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $11,220.18 / $21,379.62	Facility		$1,548.82	$11,220.18	$21,379.62