Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $6,025.60 / $18,620.87	Facility		$549.54	$6,025.60	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $741.31 / $851.14	Facility		$630.96	$741.31	$851.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $645.65 / $2,137.96	Facility		$363.08	$645.65	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $575.44 / $588.84	Facility		$478.63	$575.44	$588.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $1,230.27	Facility		$398.11	$398.11	$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