Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $6,025.60 / $18,620.87	Facility		$338.84	$6,025.60	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $2,454.71	Facility		$630.96	$758.58	$2,454.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $389.05 / $2,137.96	Facility		$218.78	$389.05	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $346.74 / $363.08	Facility		$295.12	$346.74	$363.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $245.47 / $1,230.27	Facility		$239.88	$245.47	$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