Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $2,818.38 / $10,232.93	Facility		$165.96	$2,818.38	$10,232.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $1,445.44	Facility		$467.74	$562.34	$1,445.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $269.15 / $954.99	Facility		$104.71	$269.15	$954.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $501.19 / $602.56	Facility		$151.36	$501.19	$602.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $416.87 / $707.95	Facility		$407.38	$416.87	$707.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $4,897.79	Facility		$1,862.09	$2,570.40	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,162.28 / $6,309.57	Facility		$933.25	$3,162.28	$6,309.57