Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $2,754.23 / $18,620.87	Facility		$39.81	$2,754.23	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $870.96	Facility		$501.19	$707.95	$870.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $42.66 / $269.15	Facility		$24.55	$42.66	$269.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $40.74 / $43.65	Facility		$35.48	$40.74	$43.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $891.25 / $1,698.24	Facility		$575.44	$891.25	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $758.58 / $1,698.24	Facility		$269.15	$758.58	$1,698.24