Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $6,025.60 / $18,620.87	Facility		$707.95	$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 $457.09 / $812.83 / $2,137.96	Facility		$457.09	$812.83	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $741.31 / $758.58	Facility		$616.60	$741.31	$758.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $1,230.27	Facility		$512.86	$512.86	$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