Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $2,089.30 / $10,232.93	Facility		$177.83	$2,089.30	$10,232.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $501.19 / $1,148.15	Facility		$467.74	$501.19	$1,148.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $426.58 / $977.24	Facility		$138.04	$426.58	$977.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $575.44 / $645.65	Facility		$389.05	$575.44	$645.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $436.52 / $707.95	Facility		$426.58	$436.52	$707.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $4,897.79	Facility		$1,905.46	$2,570.40	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,235.94 / $6,456.54	Facility		$933.25	$3,235.94	$6,456.54