Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,187.76 / $11,481.54	Facility		$416.87	$2,187.76	$11,481.54
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 $331.13 / $630.96 / $1,318.26	Facility		$331.13	$630.96	$1,318.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $812.83 / $912.01	Facility		$575.44	$812.83	$912.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $912.01	Facility		$602.56	$602.56	$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