Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $2,570.40 / $17,782.79	Facility		$169.82	$2,570.40	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $2,041.74	Facility		$501.19	$870.96	$2,041.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,380.38 / $2,691.53	Facility		$128.82	$1,380.38	$2,691.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $1,949.84	Facility		$1,288.25	$1,819.70	$1,949.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,318.26 / $1,380.38	Facility		$977.24	$1,318.26	$1,380.38
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