Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,737.80 / $17,782.79	Facility		$316.23	$1,737.80	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $1,819.70	Facility		$467.74	$562.34	$1,819.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $549.54 / $1,230.27	Facility		$245.47	$549.54	$1,230.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $758.58 / $831.76	Facility		$524.81	$758.58	$831.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $575.44 / $912.01	Facility		$562.34	$575.44	$912.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,311.31 / $6,456.54	Facility		$2,238.72	$3,311.31	$6,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,715.35 / $7,079.46	Facility		$933.25	$3,715.35	$7,079.46